Doctor profile · Federal record
Dr. Audrey Fortin, DMD
General Practice Dentistry · Student in an Organized Health Care Education/Training Program · Jackson, MS
- NPI 1922688001
- 5 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
989 Ellis Ave
Jackson, MS 392096256
(769) 235-3919 - Additional location
-
649 Muirwood Cir
Ridgeland, MS 391573623
(662) 560-7211 - Mailing address
-
649 Muirwood Cir
Ridgeland, MS 391573623
Credentials & registration
- NPI registered
- April 2021 — 5 yrs on file
- Profile last updated
- July 7, 2022
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Mississippi #4289-22
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922688001. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$115
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 2 | $115.22 |
By nature of payment
Frequently asked questions
What is Dr. Audrey Fortin's medical specialty?
Dr. Audrey Fortin practices General Practice Dentistry in Jackson, MS.
Where does Dr. Audrey Fortin practice?
Dr. Audrey Fortin practices at 989 Ellis Ave, Jackson, MS 392096256. Office phone: 7692353919.
What is Dr. Audrey Fortin's NPI?
Dr. Audrey Fortin's National Provider Identifier (NPI) is 1922688001, issued by NPPES.