Individual
DR. SHELBY LYNN FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2139 MS-471, BRANDON, MS 39047
(769) 241-5807
Mailing address
2139 MS-471, BRANDON, MS 39047
(769) 241-5807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111194
MS
1223G0001X
General Practice Dentistry
111194
MS
Other
Enumeration date
06/05/2025
Last updated
12/02/2025
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