Jacob Fortenberry is a Lutz, Florida based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jacob Fortenberry is
32429 for Endodontics in Florida. His current practice location is
17661 Harpers Run, Lutz. Patients can reach him at
601-278-0923.
Jacob Fortenberry is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jacob Fortenberry speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jacob Fortenberry |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 17661 Harpers Run, Lutz,
Florida, 33558-5737 |
| Phone: | 601-278-0923 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1003657651 |
| NPI Enumeration Date: | 05 Jun, 2024 |
| NPI Last Update On: | 10 Aug, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Fortenberry are as mentioned below.
| License Number | Specialization | State | Status | |
| 32429 | Endodontics | Florida | Primary | |
| 4466-24 | Dentistry | Mississippi | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 502 S Fremont Ave Apt 1127,
Tampa, Florida |
| Zip: | 33606-2015 |
| Phone Number: | 601-278-0923 |
Patients can reach Jacob Fortenberry at
17661 Harpers Run, Lutz, Florida or can
call to book an appointment on 601-278-0923.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
14 September, 2026.