Provider Demographics
NPI:1316278096
Name:FORREST, GEORGE (DMD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:FORREST
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6516 MD ANDERSON BLVD SUITE 2.059,
Mailing Address - Street 2:UNIVERSITY OF TEXAS, HEALTH SCIENCES CENTER AT HOUSTON
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3402
Mailing Address - Country:US
Mailing Address - Phone:713-500-4311
Mailing Address - Fax:713-500-4333
Practice Address - Street 1:6516 MD ANDERSON BLVD SUITE 2.059,
Practice Address - Street 2:UNIVERSITY OF TEXAS, HEALTH SCIENCES CENTER AT HOUSTON
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3402
Practice Address - Country:US
Practice Address - Phone:713-500-4311
Practice Address - Fax:713-500-4333
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXUTX354-X1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery