Healthcare Provider Details

I. General information

NPI: 1518054303
Provider Name (Legal Business Name): DAWN M FORBES DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 08/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3759 US HIGHWAY 1 SUITE 202
MONMOUTH JUNCTION NJ
08852-2430
US

IV. Provider business mailing address

3759 US HIGHWAY 1 SUITE 202
MONMOUTH JUNCTION NJ
08852-2430
US

V. Phone/Fax

Practice location:
  • Phone: 732-297-5200
  • Fax: 732-297-5206
Mailing address:
  • Phone: 732-297-5200
  • Fax: 732-297-5206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDI020566
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: