# JEFFREY H FORREST DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114015070
- **Authorized official:** MRS. SHARON M FORREST (OFFICE MANAGER)
- **Authorized official phone:** (734) 525-7616

## Contact information

- **Practice address:** 10535 FARMINGTON ROAD, LIVONIA, MI 48150
- **Practice address phone:** (734) 525-7616
- **Practice address fax:** (734) 525-3515
- **Mailing address:** 10535 FARMINGTON ROAD, LIVONIA, MI 48150
- **Mailing address phone:** (734) 525-7616
- **Mailing address fax:** (734) 525-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9837 | MI | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 08/22/2020