DR. MICHAEL FORMAN D.M.D. M.D. NPI 1043672967

NPI Information

  • NPI: 1043672967
  • Provider Name: DR. MICHAEL FORMAN, D.M.D. , M.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 23 MAPLE AVE
    GREENWICH, CT
    ZIP 06830
  • Phone: (203) 661-5858

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NPI Details

DR. Michael Forman, D.M.D. , M.D. is an oral and maxillofacial surgery dentist in Greenwich, CT. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Michael Forman, D.M.D. , M.D. NPI is 1043672967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23 MAPLE AVE
GREENWICH, CT
ZIP 06830-675
Phone: (203) 661-5858

The enumeration date for this NPI number is 3/22/2016 and was last updated on 12/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery062428NEW YORKNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
31223S0112XDentistOral and Maxillofacial Surgery13252CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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