Provider Demographics
NPI:1639331077
Name:FORSHEY, JAMES ROBERT (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:FORSHEY
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 1:702 E BASIN RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4263
Mailing Address - Country:US
Mailing Address - Phone:302-322-0245
Mailing Address - Fax:302-322-0466
Practice Address - Street 1:702 E BASIN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4263
Practice Address - Country:US
Practice Address - Phone:302-322-0245
Practice Address - Fax:302-322-0466
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-00008521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice