Dr. Russell L Forman, DMD
Dentist, General Practice in Cambridge, Massachusetts
1790836120- Practice location
- 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067
- Phone
- 617-868-5500
- Fax
- —
- Last updated
- July 8, 2007
Russell Lang Forman is a Dentist, General Practice based in Cambridge, MA. Russell Lang Forman practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Russell Lang Forman is 1790836120 and holds a License No. 18021 (MA). The current practice location address for Russell Lang Forman 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
- 1790836120
- Provider Name
- Russell Lang Forman
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067
- Phone Number
- 617-868-5500
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 14, 2007
- Last Update Date
- July 8, 2007
- 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
- 18021
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · 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 Dr. Russell L Forman, DMD?
The NPI number of Dr. Russell L Forman, DMD is 1790836120. It was assigned on January 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Russell L Forman, DMD?
Dr. Russell L Forman, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 18021.
Where does Dr. Russell L Forman, DMD 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 1790836120 directly on the NPPES registry website.