Provider Demographics
NPI:1538266770
Name:BILLY FORBESS, D.M.D., P. S. C.
Entity type:Organization
Organization Name:BILLY FORBESS, D.M.D., P. S. C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORBESS
Authorized Official - Suffix:II
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-276-4345
Mailing Address - Street 1:2134 NICHOLASVILLE RD
Mailing Address - Street 2:#7
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2521
Mailing Address - Country:US
Mailing Address - Phone:859-276-4345
Mailing Address - Fax:859-278-5076
Practice Address - Street 1:2134 NICHOLASVILLE RD
Practice Address - Street 2:#7
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2521
Practice Address - Country:US
Practice Address - Phone:859-276-4345
Practice Address - Fax:859-278-5076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty