Provider Demographics
NPI:1043507783
Name:FORBES, GRAHAM THOMAS (DDS)
Entity type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:THOMAS
Last Name:FORBES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6946 FOREST AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1706
Mailing Address - Country:US
Mailing Address - Phone:804-320-8894
Mailing Address - Fax:
Practice Address - Street 1:6946 FOREST AVE STE 205
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1706
Practice Address - Country:US
Practice Address - Phone:804-320-8894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014141381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice