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

Jared R Fortman, DDS

Individual provider Endodontics · NPI 1922193838

Jared R Fortman, DDS is an Endodontics in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1100 Sonoma Ave Ste B
Santa Rosa, CA 95405
Phone: (707) 527-9170
Fax: (707) 527-0255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 51826 (CA)

Record details

NPI number1922193838
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 5, 2008
Mailing address1100 Sonoma Ave, Ste B, Santa Rosa, CA 95405

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