Provider Demographics
NPI:1033222575
Name:FORSYTH, MARGOT GRIFFITHS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGOT
Middle Name:GRIFFITHS
Last Name:FORSYTH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:MULLETT LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49761-0081
Mailing Address - Country:US
Mailing Address - Phone:989-370-8899
Mailing Address - Fax:
Practice Address - Street 1:871 CLOVER LANE
Practice Address - Street 2:
Practice Address - City:MULLETT LAKE
Practice Address - State:MI
Practice Address - Zip Code:49761-0081
Practice Address - Country:US
Practice Address - Phone:989-370-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19-176111223G0001X
AZD0082691223G0001X
MI29010130631223G0001X
WI1002703-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice