Provider Demographics
NPI:1629839337
Name:FORBES DENTISTRY, INC.
Entity Type:Organization
Organization Name:FORBES DENTISTRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-524-3984
Mailing Address - Street 1:1653 SOLANO AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2108
Mailing Address - Country:US
Mailing Address - Phone:510-524-3984
Mailing Address - Fax:
Practice Address - Street 1:1653 SOLANO AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2108
Practice Address - Country:US
Practice Address - Phone:510-524-3984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental