Provider Demographics
NPI:1609884683
Name:FORBES, DONALD ALBERT (DMD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ALBERT
Last Name:FORBES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 SOUTH STREET
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726
Mailing Address - Country:US
Mailing Address - Phone:508-678-6736
Mailing Address - Fax:508-679-8669
Practice Address - Street 1:481 SOUTH STREET
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MA
Practice Address - Zip Code:02726
Practice Address - Country:US
Practice Address - Phone:508-678-6736
Practice Address - Fax:508-679-8669
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA114831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
723257OtherUNITED CONCORDIA
MA0296813Medicaid
80114OtherBCBS OF RI
FOX05403OtherBCBS OF MA