MEDICARE: FORBES DENTISTRY, INC.

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1629839337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORBES DENTISTRY, INC.

Provider Business Mailing Address
First Line	:	1653 SOLANO AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94707-2108
Country	:	US
Telephone Number	:	510-524-3984
Fax Number	:

Provider Business Practice Location Address
First Line	:	1653 SOLANO AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94707-2108
Country	:	US
Telephone Number	:	510-524-3984
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. KRISTEN MICHELLE FORBES
Credential	:	DDS
Telephone Number	:	510-524-3984

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	01/19/2024

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Directions to “FORBES DENTISTRY, INC. ” Practice Location

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