# FORME DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forme Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285513416
- **Authorized official:** DR. TONY VOONG DDS (OWNER / DENTIST)
- **Authorized official phone:** (979) 709-9538

## Contact information

- **Practice address:** 575 MADISON AVE STE 1503, NEW YORK, NY 10022-2511
- **Practice address phone:** (347) 460-5603
- **Mailing address:** 575 MADISON AVE STE 1503, NEW YORK, NY 10022-2511
- **Mailing address phone:** (347) 460-5603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2025
- **Last updated:** 09/01/2025