Dr. William Coleman Fortenberry
DMD | Dentist
7731 Old Canton Rd Ste A, Madison
Mississippi, 39110-6115
601-853-3565 601-853-3598
Maps & DirectionsDr. William Coleman Fortenberry is a Madison, Mississippi based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. William Coleman Fortenberry is
2543-90 for General Practice Dentistry in Mississippi. His current practice location is
7731 Old Canton Rd Ste A, Madison. Patients can reach him at
601-853-3565.
Dr. William Coleman Fortenberry is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. William Coleman Fortenberry 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: | Dr. William Coleman Fortenberry |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 7731 Old Canton Rd Ste A, Madison,
Mississippi, 39110-6115 |
| Phone: | 601-853-3565 |
| Fax: | 601-853-3598 |
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: | 1417009200 |
| NPI Enumeration Date: | 18 Jan, 2007 |
| NPI Last Update On: | 22 Apr, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. William Coleman Fortenberry are as mentioned below.
| License Number | Specialization | State | Status | |
| 2543-90 | General Practice Dentistry | Mississippi | Primary | |
| 2543 | Dentistry | Mississippi | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. William Coleman Fortenberry such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2543 | Other | Mississippi | DENTAL LICENSE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | P. O. Box 1547,
Madison, Mississippi |
| Zip: | 39130 |
| Phone Number: | 601-853-3565 |
| Fax Number: | 601-853-3598 |
Patients can reach Dr. William Coleman Fortenberry at
7731 Old Canton Rd Ste A, Madison, Mississippi or can
call to book an appointment on 601-853-3565.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.