Healthcare Provider Details

I. General information

NPI: 1427931237
Provider Name (Legal Business Name): JOSEPH FORTKORT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11312 US 15-1501 NORTH SUITE 107-139
CHAPEL HILL NC
27517
US

IV. Provider business mailing address

1000 NOVUS LN APT 526
CHAPEL HILL NC
27514-6028
US

V. Phone/Fax

Practice location:
  • Phone: 919-545-0985
  • Fax:
Mailing address:
  • Phone: 704-530-1586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14366
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: