Mark Forrest D.M.D. P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN5906 Issued in FL

Legal business name

MARK FORREST D.M.D. P.A.

Practice address

601 N. Flamingo Road
Suite #318
Pembroke Pines, FL 33028-1011

Phone

(954) 435-0100

Fax

(954) 430-8900

NPI assigned

Jun 22, 2015

Last updated

Jun 22, 2015By 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

Mr. Mark B. Forrest, D.M.D.NPI 1457423360

Title

Dr.

Phone

(954) 435-0100

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.

• Mark Forrest, DMD

  • Periodontics
  • Pembroke Pines, FL
  • NPI 1457423360
  NPD (past) Authorized official

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1992187330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N. FLAMINGO ROAD",
            "address_2": "SUITE 318",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281011",
            "telephone_number": "954-435-0100",
            "fax_number": "954-430-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N. FLAMINGO ROAD",
            "address_2": "SUITE #318",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281011",
            "telephone_number": "954-435-0100",
            "fax_number": "954-430-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK FORREST D.M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "954-435-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN5906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Maria Marino Bobadilla, PSYCHOLOGY
• Eduardo Miguel Marino Urbino, MD
• Ashley Marie Marino, BCABA
• Mario Magcalas MD PA
• Maritech Systems, Inc
• Mark Jaffe M D P a
• Mark Nathan DC PA
• Averil Kayla Mark, M.S.,CCC-SLP
• Novia Markes, APRN
• Slavisa Markovic, MD

• Dentist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.