Audrey Lee Fortin is a Jackson, Mississippi based Dentist who is specialized in
Dentist. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Audrey Lee Fortin is
4289-22 for General Practice Dentistry in Mississippi. Her current practice location is
989 Ellis Ave, Jackson. Patients can reach her at
769-235-3919.
Audrey Lee Fortin is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Audrey Lee Fortin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Audrey Lee Fortin |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 989 Ellis Ave, Jackson,
Mississippi, 39209-6256 |
| Phone: | 769-235-3919 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1922688001 |
| NPI Enumeration Date: | 12 Apr, 2021 |
| NPI Last Update On: | 07 Jul, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Audrey Lee Fortin are as mentioned below.
| License Number | Specialization | State | Status | |
| 4289-22 | General Practice Dentistry | Mississippi | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 649 Muirwood Cir,
Ridgeland, Mississippi |
| Zip: | 39157-3623 |
| Phone Number: | 662-560-7211 |
Patients can reach Audrey Lee Fortin at
989 Ellis Ave, Jackson, Mississippi or can
call to book an appointment on 769-235-3919.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.