Provider Demographics
NPI:1639338304
Name:FORBES, D'VANO J (DMD)
Entity Type:Individual
Prefix:DR
First Name:D'VANO
Middle Name:J
Last Name:FORBES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:666 W BALTIMORE ST
Mailing Address - Street 2:ORAL & MAXILLOFACIAL SURGERY, 3-G23
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1007 SUSHRUTA DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401
Practice Address - Country:US
Practice Address - Phone:304-263-0991
Practice Address - Fax:304-274-9546
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV3957204E00000X
MD16311204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery