Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BRIAN FORMAN, D.M.D.
Active Sole ProprietorDR. MICHAEL BRIAN FORMAN, D.M.D. is a General Dentistry healthcare provider located in WOONSOCKET, Rhode Island. NPI 1639260276 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WOONSOCKET, RI
Registration Details
- NPI Number
- 1639260276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2006 (19.84038313901 yrs)
- Last Updated
- Mar 18, 2023
- License
-
DN2031 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2000 DIAMOND HILL RDWOONSOCKET, RI, 028951554Browse RI providers · Browse ZIP 02895
- Phone
- 4017668600
- Fax
- 4017668601
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WOONSOCKET, RI
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY EDWARD DODGE I | D.M.D. | 1336170026 |
| DR. HARRIS D HARNICK | — | 1366465445 |
| DR. KERRI-RAE AGIN | D.M.D | 1346355815 |
| DR. GLENN LEGASPI DOMINGUEZ | DMD | 1316045578 |
| DR. RAHUL DATAR | DDS | 1538268255 |
| DR. JOEL FREDERICK PICARD I | D.D.S. | 1598830788 |
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.