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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL L FORMAN, DMD, PC

Active Organization

RUSSELL L FORMAN, DMD, PC is a Dental Clinic organization located in CAMBRIDGE, Massachusetts. NPI 1568831493 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · CAMBRIDGE, MA

Registration Details

NPI Number
1568831493
Provider Type
Organization
NPI Issued
Sep 22, 2015 (10.933584410013 yrs)
Last Updated
Sep 22, 2015
License
DN18021 (MA)

Practice Information

Address
875 MASSACHUSETTS AVE
SUITE 63
CAMBRIDGE, MA, 021393067
Browse MA providers · Browse ZIP 02139
Phone
6178685500
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in CAMBRIDGE, MA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.