Provider Demographics
NPI:1730180506
Name:GROVES, FORREST D W III (BA DDS)
Entity type:Individual
Prefix:DR
First Name:FORREST
Middle Name:D W
Last Name:GROVES
Suffix:III
Gender:M
Credentials:BA DDS
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Mailing Address - Street 1:3000 CENTER GREEN DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2364
Mailing Address - Country:US
Mailing Address - Phone:303-442-4895
Mailing Address - Fax:303-442-7341
Practice Address - Street 1:3000 CENTER GREEN DR
Practice Address - Street 2:SUITE 240
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2364
Practice Address - Country:US
Practice Address - Phone:303-442-4895
Practice Address - Fax:303-442-7341
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2008-05-02
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Provider Licenses
StateLicense IDTaxonomies
CO51511223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health