Provider Demographics
NPI:1851795025
Name:FOREHAND, ADAM (DMD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:FOREHAND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 TOBIAS GADSON BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4925
Mailing Address - Country:US
Mailing Address - Phone:843-799-9948
Mailing Address - Fax:
Practice Address - Street 1:1470 TOBIAS GADSON BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4925
Practice Address - Country:US
Practice Address - Phone:843-779-9994
Practice Address - Fax:843-429-6757
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC86611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice