| Jeffrey S. Forgosh, D.md., P.a. | |
|
280 Pleasant St Concord NH 03301-2553 | |
| (603) 228-1191 | |
| (603) 228-1317 |
| Full Name | Jeffrey S. Forgosh, D.md., P.a. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 280 Pleasant St, Concord, New Hampshire |
| Authorized Official Name and Position | Jeffrey Stephen Forgosh (OWNER/PRACTITIONER) |
| Authorized Official Contact | 6032281191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S. Forgosh, D.md., P.a. 280 Pleasant St Concord NH 03301-2553 Ph: (603) 228-1191 | Jeffrey S. Forgosh, D.md., P.a. 280 Pleasant St Concord NH 03301-2553 Ph: (603) 228-1191 |
| NPI Number | 1902919079 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902919079 | NPI | - | NPPES |
| 30300793 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | NH 1405 (New Hampshire) | Primary |
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