Individual
DR. FORREST NORMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 QUEENS RD STE 310, CHARLOTTE, NC 28204-3257
(704) 334-5306
(888) 272-2251
Mailing address
200 QUEENS RD STE 310, CHARLOTTE, NC 28204-3257
(704) 334-5306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6632
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901345
—
NC
01
—
9001Q
BCBS ID NUMBER
NC
Enumeration date
08/17/2006
Last updated
03/15/2023
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