Forest Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D13250 Issued in MN

Legal business name

FOREST DENTAL GROUP

Doing business as

Mint Dental

Practice address

7550 France Ave S Ste 138
Edina, MN 55435-4761

Phone

(763) 300-8971

NPI assigned

Aug 30, 2017

Last updated

Aug 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marwa Gamam-Forest, DDS

Title

Owner

Phone

(763) 300-8971

Specialties & licenses 1

Addresses

Other names 1

• Mint Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marwa Gamam, D.D.S.

  • Dentist
  • Edina, MN
  • NPI 1275976797
  NPD

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1699293696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 NEWTON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S STE 138",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354761",
            "telephone_number": "763-300-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "GAMAM-FOREST",
        "authorized_official_first_name": "MARWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-300-8971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D13250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Michael Foral, M.D.
• Alexandra Mariah Forbes, MA
• Allison Forbes
• Debbra Ann Ford, LP
• Forefront Dermatology, S.C.
• Reece A. Forrester, MA, LMFT
• Stephanie Forstner
• Forzacare Solutions, LLC
• Kjerstin Lee Foss, PA-C
• Merle Fossum, MSW

• Dental Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.