M. Brad Forrest & Stacy Oller Forrest, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC6763 Issued in NC

Legal business name

M. BRAD FORREST & STACY OLLER FORREST, DMD, PA

Practice address

7900 Stevens Mill Road
Ste I
Matthews, NC 28104-2929

Phone

(704) 882-1113

Fax

(704) 882-3711

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. M Brad Forrest, DMDNPI 1881812980

Title

President

Phone

(704) 882-1113

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M Brad Forrest, DMD

  • General Practice Dentistry
  • Matthews, NC
  • NPI 1881812980
  NPD (past) Authorized official
• Stacy Oller Forrest, DMD

  • General Practice Dentistry
  • Matthews, NC
  • NPI 1609094721
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1508082421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 STEVENS MILL ROAD",
            "address_2": "STE I",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281042929",
            "telephone_number": "704-882-1113",
            "fax_number": "704-882-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 STEVENS MILL ROAD",
            "address_2": "STE I",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281042929",
            "telephone_number": "704-882-1113",
            "fax_number": "704-882-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. BRAD FORREST & STACY OLLER FORREST, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-882-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz a Chavez DDS PC (All Family Dentistry PC)
• Michael Edward Lynch, MSW, LCSWA
• Diane Reid Lyon, M.A., L.P.C., N.C.C.
• M & L Podiatry PA (Matthews Foot Care Lincoln Foot Care Waxhaw Foot Care Dr Kevin L Killi)
• M. Avey & Associates NC PC VII (McKee Dental)
• Joseph Maceyak
• Bailey R Machuca, LPCA
• Angel Mack
• Erin Elizabeth Mack, NP
• Page P Mack, PT

• General Practice Dentistry in Matthews, NC
• Providers in Matthews, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.