# M. BRAD FORREST & STACY OLLER FORREST, DMD, PA

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

## Provider details

- **NPI number:** 1508082421
- **Authorized official:** DR. M BRAD FORREST DMD (PRESIDENT)
- **Authorized official phone:** (704) 882-1113

## Contact information

- **Practice address:** 7900 STEVENS MILL ROAD, STE I, MATTHEWS, NC 28104-2929
- **Practice address phone:** (704) 882-1113
- **Practice address fax:** (704) 882-3711
- **Mailing address:** 7900 STEVENS MILL ROAD, STE I, MATTHEWS, NC 28104-2929
- **Mailing address phone:** (704) 882-1113
- **Mailing address fax:** (704) 882-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | NC6763 | NC | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 07/28/2008