Dr. Michael Forman, D.M.D. , M.D.
Dentist, Oral and Maxillofacial Surgery in Greenwich, CT. Individual provider (NPI-1).
NPI number1043672967
StatusActive
Last updated in NPPESDec 24, 2022
Details
- NPI
- 1043672967
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Forman
- Credential
- D.M.D. , M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2016
- Certification date
- Dec 24, 2022
- Last updated
- Dec 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 13252 | CT | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 062428 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
23 Maple AveGreenwich, CT 06830-5675
Phone 203-661-5858
Mailing address
23 Maple AveGreenwich, CT 06830-5675
Phone 203-661-5858
Other practice locations
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Oral and Maxillofacial Surgery (Dentist) providers in Greenwich, CT
- Michele Shoshana Bergen, D.M.D., M.D.NPI 1215929286
- Greenwich Oral And Maxillofacial Surgery Associates, P.C.NPI 1073633426
- Joseph Francis Wallace, D.D.S.NPI 1255421012
- Thomas Benedict Wilson, DDS,MDNPI 1649298944
- Brett Michael Zuckman, DMDNPI 1053699967
All 6 Oral and Maxillofacial Surgery (Dentist) providers in Greenwich · All 1,532 providers in Greenwich
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.