DR. MICHAEL BRIAN FORMAN (NPI# 1639260276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639260276 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRIAN FORMAN |
| Credential | D.M.D. |
| Practice Address |
2000 Diamond Hill Rd Woonsocket RI 02895-1554 |
| Practice Telephone | 4017668600 |
| Practice Fax Number | 4017668601 |
| Mailing Telephone | 4017668600 |
| Mailing Fax Number | 4017668601 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN2031 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MF02311 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726133 | Michael A Forman | Psychologist | 3545 Olentangy Rvr Rd, Suite 214, Columbus, OH 43214-3907 | 2005-08-01 |
| 1043672967 | Michael Forman | Student in an Organized Health Care Education/Training Program | 622 W 168th St, Vc-7th Floor, New York, NY 10032-3720 | 2016-03-22 |
| 1073996054 | Michael Forman | Specialist | 538 Broadhollow Rd, Suite 202, Melville, NY 11747-3676 | 2015-07-08 |
| 1356776389 | Michael Forman | Acupuncturist | 1900 Purdy Ave, Apt 1014, Miami Beach, FL 33139-1400 | 2013-09-10 |
| 1962492488 | Michael Forman | Podiatrist | 29001 Cedar Rd, 309, Lyndhurst, OH 44124-4062 | 2005-10-26 |
| 1992790661 | Michael H. Forman | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2005-09-19 |
| 1154324556 | Michael Scott Forman | Pharmacist | 7500 Security Blvd, Mail Stop: C1-22-06, Baltimore, MD 21244-1849 | 2005-05-31 |
| Street Address |
2000 DIAMOND HILL RD |
| City | WOONSOCKET |
| State | RI |
| Zip Code | 02895-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861585671 | Woonsocket Dental Associates | Clinic/Center | 2000 Diamond Hill Rd, Woonsocket, RI 02895-1554 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732017 | Karissa Cardoso | Behavior Technician | 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 | 2019-07-16 |
| 1841714177 | Richard Keith Polacek | Behavioral Analyst | 30 Cumberland St., Woonsocket, RI 02895 | 2017-07-28 |
| 1912353335 | Muria Irine Nisbett | Social Worker | 4 Gaulin Ave., Floor 4, Woonsocket, RI 02895 | 2016-05-05 |
| 1083046833 | Shaylyn Kathleen Mcteague | Podiatrist | 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 | 2013-08-04 |
| 1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
| 1073876256 | Patricia J Corbett | Social Worker | 181 Cumberland St # 301, Woonsocket, RI 02895 | 2012-06-21 |
| 1114206521 | Patricia Nievez Alvarez | Social Worker | 181 Cumberland St Ste 301, Woonsocket, RI 02895 | 2011-08-16 |
| 1891082970 | Ann Katherine Maccarone | Speech-Language Pathologist | 1 Cumberland St., Woonoscket, RI 02895 | 2011-07-08 |
| 1043507734 | Infectious Diseases Associates of Rhode Island | Internal Medicine | 115 Cass Avenue - 3rd Floor, C/o Landmark Medical, Woonsocket, RI 02895 | 2011-07-01 |
| 1740577543 | Michelle Marie Durand Straube | Optometrist | 385 Mendon Road, Woonsocket, RI 02895 | 2011-06-30 |
| Find all providers in zip 02895 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
| 1760510044 | Boris Stabnikov | Dentist | 150 Social St, Suite 2, Woonsocket, RI 02895-3133 | 2007-03-01 |
| 1194883645 | David J Ward | Dentist | 460 South Main St, Woonsocket, RI 02895 | 2006-12-05 |
| 1598830788 | Joel Frederick Picard I | Dentist | 52 Hamlet Ave, Woonsocket, RI 02895-4423 | 2006-11-22 |
| 1346355815 | Kerri-rae Agin | Dentist | 1413 Diamond Hill Rd, Woonsocket, RI 02895-1510 | 2006-08-21 |
| 1336170026 | Jeffrey Edward Dodge I | Dentist | 1438 Park Ave, Woonsocket, RI 02895-6557 | 2006-07-05 |
| 1821574047 | Samantha M Ward | Dentist | 460 S Main St, Woonsocket, RI 02895-5195 | 2018-07-11 |
| 1770967093 | Deepa Ravichandran | Dentist | 25 John A Cummings Way, Woonsocket, RI 02895-3244 | 2015-07-16 |
| 1497095178 | Joel F. Picard Dds, Inc. | Dentist | 52 Hamlet Ave, Woonsocket, RI 02895-4423 | 2013-02-18 |
| 1790935831 | Jeffrey E Dodge Dmd | Dentist | 1438 Park Ave, Woonsocket, RI 02895-6557 | 2008-09-25 |
| Find all providers in WOONSOCKET | ||||
| City | WOONSOCKET |
| Zip Code | 02895 |
Please comment or provide details below to improve the information on DR. MICHAEL BRIAN FORMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.