Russell L Forman, Dmd, Pc
LBN: Russell L Forman, Dmd, Pc
Russell L Forman, Dmd, Pc is an health care organization with primary practice located at 875 Massachusetts Ave Suite 63, Cambridge MA 02139-3067. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Russell L Forman, Dmd, Pc can be contacted via phone (617) 868-5500, or through Forman, Russell Lang via phone (617) 868-5500.
Contact Information
Primary practice address
875 Massachusetts Ave Suite 63
Cambridge MA 02139-3067
Phone: (617) 868-5500
Fax:
Website:
Authorized official contact:
Name: Forman, Russell Lang Doctor of Dental Medicine (DMD)
Phone: (617) 868-5500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | DN18021 | Massachusetts |
Profile Details
| NPI number | 1568831493 |
|---|---|
| LBN Legal business name | Russell L Forman, Dmd, Pc |
| DBA Doing business as | |
| Authorized official | Forman, Russell Lang Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2015 |
| Last updated | Sep 22nd, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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