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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.