Individual
DR. RICHARD FORBES GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSCO,PA
Contact information
Practice address
2409 GRACE AVE, NEW BERN, NC 28562-4445
(252) 638-8155
(252) 638-9069
Mailing address
2409 GRACE AVE, NEW BERN, NC 28562-4445
(252) 638-8155
(252) 638-9069
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3140
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178-580
UNITED CONCORDIA
—
05
—
8993289
—
NC
01
—
93289
BCBS
NC
Enumeration date
08/02/2006
Last updated
07/08/2007
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