Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER J FORMAN, DDS,MS
Active Sole ProprietorDR. ROGER J FORMAN, DDS,MS is a Dentist healthcare provider located in BOULDER, Colorado. NPI 1376612838 is currently active in the NPPES registry. Verify at CMS.
Dentist · BOULDER, CO
Registration Details
- NPI Number
- 1376612838
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2006 (19.593002619579 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0053 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1840 FOLSOM STSUITE 302BOULDER, CO, 803025712Browse CO providers · Browse ZIP 80302
- Phone
- 3039388300
- Fax
- 3034415811
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| DR. TED C KAWULOK | D.D.S. | 1245223593 |
| DR. NICOLE KENT | DDS | 1801870951 |
| DR. DAVID LEWIS EVANS JR. | D.D.S. | 1033147764 |
| DR. MARK JOSEPH BIRNBACH | DMD | 1598788788 |
| DR. ROBERT BARRETT SIMERAL | DDS | 1730271172 |
| DEBBIE ROUBAL | DDS | 1760566533 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.