Provider Demographics
NPI:1891402517
Name:FORBES DENTAL CARE, P.A.
Entity Type:Organization
Organization Name:FORBES DENTAL CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:612-788-0751
Mailing Address - Street 1:4001 STINSON BLVD N.E, FORBES DENTAL CARE, P.A.
Mailing Address - Street 2:SUITE #426
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55421
Mailing Address - Country:US
Mailing Address - Phone:612-788-0751
Mailing Address - Fax:612-788-1014
Practice Address - Street 1:4001 STINSON BLVD N.E, FORBES DENTAL CARE, P.A.
Practice Address - Street 2:SUITE #426
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55421
Practice Address - Country:US
Practice Address - Phone:612-788-0751
Practice Address - Fax:612-788-1014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty