Healthcare Provider Details

I. General information

NPI: 1033121223
Provider Name (Legal Business Name): DARREN FORCIER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4982 TRANSIT RD
DEPEW NY
14043-4468
US

IV. Provider business mailing address

4982 TRANSIT RD
DEPEW NY
14043-4468
US

V. Phone/Fax

Practice location:
  • Phone: 716-681-2259
  • Fax: 716-686-9204
Mailing address:
  • Phone: 716-681-2259
  • Fax: 716-686-9204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberNH3254
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number54753
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: