MEDICARE: DR. FORREST LAWSON BAILEY D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D5925-C1	AL

General Provider Information

NPI Number	:	1881956761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FORREST LAWSON BAILEY D.M.D.

Provider Business Mailing Address
First Line	:	3343 RAINBOW DR
Second Line	:
City	:	RAINBOW CITY
State	:	AL
Zip	:	35906-6201
Country	:	US
Telephone Number	:	256-456-5936
Fax Number	:

Provider Business Practice Location Address
First Line	:	3343 RAINBOW DR
Second Line	:
City	:	RAINBOW CITY
State	:	AL
Zip	:	35906-6201
Country	:	US
Telephone Number	:	256-456-5936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	08/22/2022

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