Scott A Forsmark, DDS
Individual provider Active NPI General Practice Dentistry · Cheboygan, MI
NPI 1669415469 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1669415469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901015437 (MI)
- Practice address
- 1346 Mackinaw Ave
Cheboygan, MI 49721-1003 - Phone
- (231) 627-5681
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151106000778 | MI | Order and Referring Only - Oral Surgery |
7113237991 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901015437 | MI | Yes |
Addresses
Primary practice location
1346 Mackinaw Ave
Cheboygan, MI 49721-1003
Mailing address
1346 Mackinaw Ave
Cheboygan, MI 49721-1003
Phone (231) 627-5681
Other providers in Cheboygan, MI
- Rebecca Evans
- Laurent Fady
- Family Fare, LLC
- FMG South Huron Street Michigan LLC
- James Craig Forrester
- Forward Path Counseling
- Pamela Susan Francken
- Robert Frank
- Christina Franka
- Laurence J Frechette III
All providers in Cheboygan, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.