Judy Joan Forrester, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN22042 Issued in FL

Practice address

215 E Burleigh Blvd
Tavares, FL 32778-2403

Phone

(352) 253-6400

Fax

(352) 253-6401

NPI assigned

Jul 7, 2016

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifetime Dental, Inc

  • General Practice Dentistry
  • Tavares, FL
  • NPI 1497906705
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1093167595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684854",
            "telephone_number": "727-491-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E BURLEIGH BLVD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327782403",
            "telephone_number": "352-253-6400",
            "fax_number": "352-253-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "JUDY",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Hospital Waterman Inc (Adventhealth Waterman Special Transportation)
• Florida Oncology Network PA
• Florida Oncology Tavares, LLC
• Alice Louise Floyd, ARNP, CWCN
• Maria Flynn, MD
• Marie Fors, LMFT
• Catherine Forsyth
• Brynn Elizabeth Forsythe, BSN
• Fountain Inn Nursing & Rehabilitation Center Inc (AdventHealth Care Center Waterman)
• Michael Warren Fountain, D.O.

• Dentist in Tavares, FL
• Providers in Tavares, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.