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NPI Code Detail

MEDICARE: DR. FORREST NORMAN III DDS

MEDICARE:  DR. FORREST  NORMAN III DDS
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
1122300000XDentist6632NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19001QOTHERNCBCBS ID NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649384934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FORREST NORMAN III DDS
Provider Business Mailing Address
First Line : 200 QUEENS RD STE 310
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-3257
Country : US
Telephone Number : 704-334-5306
Fax Number :
Provider Business Practice Location Address
First Line : 200 QUEENS RD STE 310
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-3257
Country : US
Telephone Number : 704-334-5306
Fax Number : 888-272-2251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 03/15/2023

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Directions to “ DR. FORREST NORMAN III DDS” Practice Location

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