Individual provider · Type 1 NPI

Michael Forman, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Greenwich, CT

NPI number 1043672967 Active

Practice location

23 Maple Ave
Greenwich, CT 06830-5675

Other practice locations

  • 622 W 168th St, VC-7TH Floor, New York, NY 10032-3720 · (212) 305-4552

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X062428 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X13252 (CT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5 other providers at this address

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About NPI 1043672967

Michael Forman, DMD, MD's National Provider Identifier is 1043672967, issued on Mar 22, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Greenwich, CT. The record was last updated on Dec 24, 2022.