Doctor profile · Federal record
Dr. William Fortenberry, DMD
General Practice Dentistry · Dentist · Madison, MS
- NPI 1417009200
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
7731 Old Canton RD Ste A
Madison, MS 391106115
(601) 853-3565
fax (601) 853-3598 - Mailing address
-
P. O. Box 1547
Madison, MS 39130
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- April 22, 2021
- Specialty taxonomy
- 1223G0001X — NUCC code
- State licenses (2)
- Mississippi #2543-90 · Mississippi #2543
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417009200. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$345
Transactions
8
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 8 | $345.01 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
76
Patients
63
Total drug cost
$428
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 60 | 47 | $199 |
| Ketorolac Tromethamine | Generic | 16 | 16 | $229 |
Frequently asked questions
What is Dr. William Fortenberry's medical specialty?
Dr. William Fortenberry practices General Practice Dentistry in Madison, MS.
Where does Dr. William Fortenberry practice?
Dr. William Fortenberry practices at 7731 Old Canton RD Ste A, Madison, MS 391106115. Office phone: 6018533565.
What is Dr. William Fortenberry's NPI?
Dr. William Fortenberry's National Provider Identifier (NPI) is 1417009200, issued by NPPES.