Provider Demographics
NPI:1477656825
Name:FORESTER, JAMES G (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:FORESTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9590 MEDLOCK BRIDGE ROAD
Mailing Address - Street 2:SUITE F
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5987
Mailing Address - Country:US
Mailing Address - Phone:770-232-1830
Mailing Address - Fax:770-232-5051
Practice Address - Street 1:9590 MEDLOCK BRIDGE ROAD
Practice Address - Street 2:SUITE F
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-5987
Practice Address - Country:US
Practice Address - Phone:770-232-1830
Practice Address - Fax:770-232-5051
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAGA94221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice