Provider Demographics
NPI:1619414588
Name:GRAHAM T FORBES DDS PLC
Entity Type:Organization
Organization Name:GRAHAM T FORBES DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-512-1252
Mailing Address - Street 1:6740 FOREST HILL AVE
Mailing Address - Street 2:#201
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-1844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6740 FOREST HILL AVE
Practice Address - Street 2:#201
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-1844
Practice Address - Country:US
Practice Address - Phone:804-320-8894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414138261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental