Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Fortenberry, DMD

Individual provider Dentist · NPI 1003657651

Jacob Fortenberry, DMD is a Dentist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

635 Albany St
Boston, MA 02118-3550
Phone: (601) 278-0923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN10000426 (MA)

Record details

NPI number1003657651
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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