Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. William Coleman Fortenberry, DMD

Individual provider Dentist · NPI 1417009200

Dr. William Coleman Fortenberry, DMD is a Dentist in Madison, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

7731 Old Canton Rd Ste A
Madison, MS 39110-6115
Phone: (601) 853-3565
Fax: (601) 853-3598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2543-90 (MS)
Dentist Taxonomy 122300000X · Licence 2543 (MS)

Record details

NPI number1417009200
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021

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