Forum Dental Group, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00004762 Issued in WA

Legal business name

FORUM DENTAL GROUP, LLC

Practice address

15129 Main St
Suite 202
Mill Creek, WA 98012-9036

Phone

(425) 357-1818

NPI assigned

Jan 21, 2016

Last updated

Jan 21, 2016By 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. Michael G Lamarche, DDSNPI 1518088186

Title

Owner

Phone

(425) 357-1818

Specialties & licenses 1

Addresses

Locations

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.

• Michael G Lamarche, DDS

  • Dentist
  • Mill Creek, WA
  • NPI 1518088186
  Authorized official Same address or phone

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1720445737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15129 MAIN ST",
            "address_2": "SUITE 202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129036",
            "telephone_number": "425-357-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15129 MAIN ST",
            "address_2": "SUITE 202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129036",
            "telephone_number": "425-357-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "LAMARCHE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-357-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00004762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.