Individual provider · Type 1 NPI

Jacob Fortenberry, DMD

Endodontics · Lutz, FL

NPI number 1003657651 Active

Practice location

17661 Harpers Run
Lutz, FL 33558-5737

Mailing address

502 S Fremont Ave Apt 1127
Tampa, FL 33606-2015

Other practice locations

  • 7731 Old Canton Rd Ste A, Madison, MS 39110-6115 · (601) 278-0923

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X4466-24 (MS)
Endodontics Primary 1223E0200X32429 (FL)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1003657651

Jacob Fortenberry, DMD's National Provider Identifier is 1003657651, issued on Jun 5, 2024. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Lutz, FL. The record was last updated on Aug 10, 2026.