Kristen Lee Forster, D.D.S.

Individual provider Active NPI General Practice Dentistry · Mott, ND

NPI 1154488245 · NPPES record last updated Apr 28, 2015

Key facts

NPI: 1154488245
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 1986 (ND)
Practice address: 223 Brown Avenue
Mott, ND 58646
Phone: (701) 824-2991
Fax: (701) 824-2750
NPI assigned: Jan 2, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

Apollonia Dental Dental Clinic/Center · Mott, ND · NPI 1568656114

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1986	ND	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Apollonia Dental		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	1986	ND	Yes

Addresses

Primary practice location

223 Brown Avenue
Mott, ND 58646

Mailing address

223 Brown Avenue
Mott, ND 58646
Phone (701) 824-2991

Other identifiers

Identifier	Type	State	Issuer
41381	Medicaid	ND

Other names

Kristen Lee Olson Former name

Other providers in Mott, ND

All providers in Mott, ND · General Practice Dentistry in North Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.