Gary Anthony Forgach, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

2901022147 Issued in MI

Practice address

33 Bloomfield Hills Pkwy Ste 100
Bloomfield Hills, MI 48304-2945

Phone

(248) 341-8477

NPI assigned

Mar 27, 2013

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 24, 2025 through Mar 24, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bloomfield Oral & Maxillofacial Surgery PLLC

  dba Bloomfield Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bloomfield Hills, MI
  • NPI 1427835792

  Oral and Maxillofacial Surgery

  NPD Authorized official
• Fredric L. Bonine, DDS, Ms, PC

  • Preferred Provider Organization
  • Brighton, MI
  • NPI 1184980914
  NPD

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1639411747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BLOOMFIELD HILLS PKWY STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042945",
            "telephone_number": "248-341-8477",
            "fax_number": "248-341-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BLOOMFIELD HILLS PKWY STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042945",
            "telephone_number": "248-341-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGACH",
        "first_name": "GARY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901022147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Florek, M.D.
• Melissa Marie Flynn, OTRL
• Jessica Foksa, M.A., L.P.C.
• Hillary Follis, LLMSW
• Forever Oak Health Center, PLC. (Forever Oak Health Center)
• Ryan David Forster, M.D.
• Stephanie Marie Fotouhi, DDS
• Lara Talya Fram
• Joseph A Franchini, DPT
• Francine Greenfield D.D.S., F.a.G.D.Corp.

• Oral & Maxillofacial Surgery (D.M.D.) in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.