Forman, Michael Brian

Forman, Michael Brian is an sole proprietor health care provider with primary practice located at 2000 Diamond Hill Rd , Woonsocket RI 02895-1554. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Forman, Michael Brian can be contacted via phone (401) 766-8600.

Contact Information

Primary practice address
2000 Diamond Hill Rd Woonsocket RI 02895-1554
Phone: (401) 766-8600
Fax: (401) 766-8601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN2031 Rhode Island

Profile Details

NPI number 1639260276
LBN Legal business name Forman, Michael Brian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Mar 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639260276 NPPES
Rhode Island MEDICAID MF02311

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