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M. BRAD FORREST & STACY OLLER FORREST DMD PA NPI 1508082421


NPI Information

NPI: 1508082421
Provider Name: M. BRAD FORREST & STACY OLLER FORREST, DMD, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7900 STEVENS MILL ROAD
STE I
MATTHEWS, NC
ZIP 28104
Phone: (704) 882-1113
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M. BRAD FORREST & STACY OLLER FORREST, DMD, PA is a general practice dentist in Matthews, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. M. BRAD FORREST & STACY OLLER FORREST, DMD, PA NPI is 1508082421. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7900 STEVENS MILL ROAD
STE I
MATTHEWS, NC
ZIP 28104-929
Phone: (704) 882-1113
Fax: (704) 882-3711

The provider's authorized official is M Brad Forrest .
The authorized official title is President and has the following contact phone number (704) 882-1113.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 7/28/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNC6763NORTH CAROLINAYes

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: 4/28/2024

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