Provider Demographics
NPI:1679745681
Name:PAPICH-FORSYTH, MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:PAPICH-FORSYTH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:PAPICH-FORSYTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:555 GRAHAM RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-1335
Mailing Address - Country:US
Mailing Address - Phone:330-928-1417
Mailing Address - Fax:330-928-6497
Practice Address - Street 1:555 GRAHAM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1335
Practice Address - Country:US
Practice Address - Phone:330-928-1417
Practice Address - Fax:330-928-6497
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0203231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice