Individual
DR. STEPHEN P FORSYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
545 E JOHNSON ST, FOND DU LAC, WI 54935-2856
(920) 924-9090
Mailing address
871 CLOVER LANE, MULLETT LAKE, MI 49761-0081
(231) 330-8901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002044-15
WI
1223G0001X
General Practice Dentistry
19-17529
IL
1223G0001X
General Practice Dentistry
2901013064
MI
1223G0001X
General Practice Dentistry
D008268
AZ
Other
Enumeration date
06/09/2005
Last updated
02/28/2023
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