Search › Florida › 1223E0200X
Jacob Fortenberry, DMD
NPI 1003657651 · on the registry since 2024
Practice
- Address
- 17661 Harpers Run
Lutz, FL 33558 - Phone
- (601) 278-0923
Additional practice sites
- 7731 Old Canton Rd Ste A, Madison, MS
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 122300000X
- Licence states on file
- MS, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida