Individual
DR. MICHAEL JOHN FORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., OMFS
Contact information
Practice address
19910 N COVE RD, CORNELIUS, NC 28031-6447
(704) 892-1198
Mailing address
2522 GREEN POINT LN, DENVER, NC 28037-9429
(301) 758-2680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS03578
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
09973
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN014565
GA
Other
Enumeration date
12/15/2005
Last updated
06/29/2016
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