| Steven S. Forman D.d.s., P.c. | |
|
65 Mountain Blvd Ext Suite 204 Warren NJ 07059-2632 | |
| (732) 356-1777 | |
| (732) 302-3082 |
| Full Name | Steven S. Forman D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 65 Mountain Blvd Ext, Warren, New Jersey |
| Authorized Official Name and Position | Steven Samuel Forman (PRESIDENT) |
| Authorized Official Contact | 7323561777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven S. Forman D.d.s., P.c. 65 Mountain Blvd Ext Suite 204 Warren NJ 07059-2632 Ph: (732) 356-1777 | Steven S. Forman D.d.s., P.c. 65 Mountain Blvd Ext Suite 204 Warren NJ 07059-2632 Ph: (732) 356-1777 |
| NPI Number | 1023192499 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023192499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 011442 (New Jersey) | Primary |
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