Beth Sandra Forman in Encinitas - Dentist
Beth Sandra Forman - NPI 1417141151
Beth Sandra Forman is a Dentist in Encinitas, California. Beth Sandra Forman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Beth Sandra Forman is 1417141151. The last update date is 2007-09-05.
Beth Sandra Forman's current location address is 679 Encinitas Blvd, Encinitas, California. You can contact this provider via phone number 7604361542 and fax number 7604361430. The mailing address for Beth Sandra Forman is 679 Encinitas Blvd, Encinitas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beth Sandra Forman |
|---|---|
| Address | 679 Encinitas Blvd, Encinitas, California |
| Phone Number | 7604361542 |
| Fax Number | 7604361430 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417141151 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2007-09-05 |
Provider Mailing Address Detail
| Address | 679 Encinitas Blvd |
|---|---|
| City | Encinitas |
| State | California (CA) |
| Post Code | 920243761 |
| Phone Number | 7604361542 |
| Fax Number | 7604361430 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 32663 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Beth Sandra Forman's 1417141151?
The Beth Sandra Forman's NPI (National Provider Identifier) Number is 1417141151. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Beth Sandra Forman?
The Beth Sandra Forman is situated at 679 Encinitas Blvd, in the city of Encinitas, state of CA, with the zip code 920243761.
What is Beth Sandra Forman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Beth Sandra Forman is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Beth Sandra Forman's 1417141151 issued?
The Beth Sandra Forman's 1417141151 was issued on 2007-09-05.
When was the information related to Beth Sandra Forman most recently updated or refreshed?
The details pertaining to the Beth Sandra Forman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-05.