Organization
JEFFREY S. FORGOSH, D.MD., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY STEPHEN FORGOSH D.M.D. (OWNER/PRACTITIONER)
(603) 228-1191
Entity
Organization
Contact information
Practice address
280 PLEASANT ST, CONCORD, NH 03301-2553
(603) 228-1191
(603) 228-1317
Mailing address
280 PLEASANT ST, CONCORD, NH 03301-2553
(603) 228-1191
(603) 228-1317
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
NH 1405
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30300793
—
NH
Enumeration date
08/16/2006
Last updated
08/22/2020
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