Dr. Michael Forman, DMD, MD
Dentist, Oral and Maxillofacial Surgery in Greenwich, Connecticut
1043672967- Practice location
- 23 Maple Ave, Greenwich, CT 06830-5675
- Phone
- 203-661-5858
- Fax
- —
- Last updated
- December 24, 2022
Michael Forman is a Dentist, Oral and Maxillofacial Surgery based in Greenwich, CT. Michael Forman practices in Greenwich, CT and has the professional credentials of DMD, MD. The NPI Number for Michael Forman is 1043672967 and holds a License No. 062428 (NY). The current practice location address for Michael Forman is 23 Maple Ave, Greenwich, CT 06830-5675 and can be reached out via phone at 203-661-5858.
Provider Profile Details
- NPI Number
- 1043672967
- Provider Name
- Michael Forman
- Credential
- DMD, MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 23 Maple Ave, Greenwich, CT 06830-5675
- Phone Number
- 203-661-5858
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 22, 2016
- Last Update Date
- December 24, 2022
- Certification Date
- December 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23 Maple Ave
Greenwich, CT 06830-5675 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830-5675
- Phone Number
- 203-661-5858
Provider Business Mailing Address Details
- Address
- 23 Maple Ave
Greenwich, CT 06830-5675 - City
- Greenwich
- State
- CT
- Zip
- 06830-5675
- Phone Number
- 203-661-5858
License Information
- License Number (1)
- 062428
- License State (1)
- NY
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 13252
- License State (3)
- CT
- Taxonomy (3)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Greenwich, CT
View all Dentist, Oral and Maxillofacial Surgery providers in Greenwich →- Dr. Brett M Zuckman, DMDDentist, Oral and Maxillofacial Surgery · NPI 1053699967
- Dr. Joseph F Wallace III, DDSDentist, Oral and Maxillofacial Surgery · NPI 1255421012
- Dr. Michele S Bergen, DMD, MDDentist, Oral and Maxillofacial Surgery · NPI 1215929286
- Dr. Thomas B Wilson I, DDS, MDDentist, Oral and Maxillofacial Surgery · NPI 1649298944
- Greenwich Oral And Maxillofacial Surgery Associates, P.c.Dentist, Oral and Maxillofacial Surgery · NPI 1073633426
Frequently Asked Questions
What is the NPI number of Dr. Michael Forman, DMD, MD?
The NPI number of Dr. Michael Forman, DMD, MD is 1043672967. It was assigned on March 22, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael Forman, DMD, MD?
Dr. Michael Forman, DMD, MD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NY under license number 062428.
Where does Dr. Michael Forman, DMD, MD practice?
The practice location is 23 Maple Ave, Greenwich, CT 06830-5675. The office can be reached at 203-661-5858 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043672967 directly on the NPPES registry website.