Russell L Forman, DMD, PC
Clinic/Center, Dental in Cambridge, Massachusetts
1568831493- Practice location
- 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067
- Phone
- 617-868-5500
- Fax
- —
- Last updated
- September 22, 2015
Russell L Forman, DMD, PC is a healthcare organization based in Cambridge, MA. Russell L Forman, DMD, PC practices in Cambridge, MA. The NPI Number for Russell L Forman, DMD, PC is 1568831493 and holds a License No. DN18021 (MA). The current practice location address for Russell L Forman, DMD, PC is 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067 and can be reached out via phone at 617-868-5500.
Provider Profile Details
- NPI Number
- 1568831493
- Provider Name
- Russell L Forman, DMD, PC
- Provider Entity Type
- Organization
- Address
- 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067
- Phone Number
- 617-868-5500
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Russell Lang Forman, DMD · Owner · 617-868-5500
- Provider Enumeration Date
- September 22, 2015
- Last Update Date
- September 22, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 875 Massachusetts Ave
Suite 63
Cambridge, MA 02139-3067 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02139-3067
- Phone Number
- 617-868-5500
Provider Business Mailing Address Details
- Address
- 875 Massachusetts Ave
Suite 63
Cambridge, MA 02139-3067 - City
- Cambridge
- State
- MA
- Zip
- 02139-3067
- Phone Number
- 617-868-5500
License Information
- License Number
- DN18021
- License State
- MA
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Russell L Forman, DMD, PC?
The NPI number of Russell L Forman, DMD, PC is 1568831493. It was assigned on September 22, 2015 and is currently active in the NPPES registry.
What is the specialty of Russell L Forman, DMD, PC?
Russell L Forman, DMD, PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number DN18021.
Where does Russell L Forman, DMD, PC practice?
The practice location is 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067. The office can be reached at 617-868-5500 (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 1568831493 directly on the NPPES registry website.