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Dr. Michael Forman, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Greenwich, Connecticut
NPI 1043672967

Michael Forman is a Oral and Maxillofacial Surgery (Dentist) based in Greenwich, CT and is specialized in Oral and Maxillofacial Surgery. 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 (Connecticut).

The current practice location address for Michael Forman is 23 Maple Ave, Greenwich, CT and can be reached out via phone at 203-661-5858.

Location: 23 Maple Ave, Greenwich, CT, 06830-5675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23 Maple Ave
City
Greenwich
State
Connecticut
Zip
06830-5675
Phone Number
203-661-5858
Fax Number
person
Provider Business Mailing Address Details
Address
23 Maple Ave
City
Greenwich
State
Connecticut
Zip
06830-5675
Phone Number
203-661-5858
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
062428 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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NPI 1215929286
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