Doctor profile · Federal record
Dr. Jacob Fortenberry, DMD
Dentist · Boston, MA
- NPI 1003657651
- 2 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
635 Albany St
Boston, MA 021183550
(601) 278-0923 - Mailing address
-
15 Beauvoir Pl
Madison, MS 391108047
Credentials & registration
- NPI registered
- June 2024 — 2 yrs on file
- Profile last updated
- September 24, 2024
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Massachusetts #DN10000426
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003657651. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$134
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 2 | $72.78 | |
| Peter Brasseler Holdings, LLC | 2 | $61.38 |
By nature of payment
Frequently asked questions
What is Dr. Jacob Fortenberry's medical specialty?
Dr. Jacob Fortenberry practices Dentist in Boston, MA.
Where does Dr. Jacob Fortenberry practice?
Dr. Jacob Fortenberry practices at 635 Albany St, Boston, MA 021183550. Office phone: 6012780923.
What is Dr. Jacob Fortenberry's NPI?
Dr. Jacob Fortenberry's National Provider Identifier (NPI) is 1003657651, issued by NPPES.