Provider Demographics
NPI:1982706230
Name:CAHILL, FOREST DALLAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:FOREST
Middle Name:DALLAS
Last Name:CAHILL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:OH
Mailing Address - Zip Code:44807-0532
Mailing Address - Country:US
Mailing Address - Phone:419-426-3334
Mailing Address - Fax:
Practice Address - Street 1:104 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:OH
Practice Address - Zip Code:44807-0532
Practice Address - Country:US
Practice Address - Phone:419-426-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0142231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice