1. Home
  2. Directory
  3. Connecticut
  4. Greenwich
  5. Dentist
  6. NPI Profile

DR. MICHAEL FORMAN D.M.D. , M.D.
NPI 1043672967
Dentist - Oral and Maxillofacial Surgery in Greenwich, CT

Active since March 22, 2016
23 MAPLE AVE, GREENWICH, CT 06830(203) 661-5858 Get Directions Write a Review

NPPES record last updated: December 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 24, 2022, Sep 20, 2022, Aug 23, 2022 and 2 more (5 updates tracked since 2016).

About Dr. Michael Forman D.m.d. , M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL FORMAN D.M.D. , M.D. (NPI 1043672967) is an individual oral and maxillofacial surgery provider in Greenwich, Connecticut, licensed in Connecticut (13252) and active in the NPI registry since March 2016. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1043672967
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL FORMANCredential: D.M.D. , M.D.
Location Address23 MAPLE AVEGreenwich, CT 06830-5675
Mailing Address23 Maple AveGreenwich, CT 06830-5675 · (203) 661-5858
Phone(203) 661-5858
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateDecember 24, 20225 updates tracked since enumeration
NPPES CertifiedDecember 24, 2022
✔ NPI 1043672967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CT · 13252✔ Licensed in NY · 062428
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
23 MAPLE AVE, Greenwich, CT 06830
Open in Google Maps ↗

Secondary Practice Location 1

Location 1622 W 168th St, VC-7th FloorNew York, NY 10032-3720 · Phone (212) 305-4552

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.
Dentist (Oral and Maxillofacial Surgery)
23 MAPLE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 661-5858
DR. JOSEPH FRANCIS WALLACE III D.D.S.
Dentist (Oral and Maxillofacial Surgery)
23 MAPLE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 661-5858
JAMES P ORPHANOS
Clinic/Center (Primary Care)
23 MAPLE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-0451
SILVI GEORGE NP-C
Nurse Practitioner (Family)
23 MAPLE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-0451
MAIA B WEED APRN
Nurse Practitioner (Adult Health)
23 MAPLE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-0451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Forman's NPI number?

The NPI number for Michael Forman is 1043672967. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Michael Forman located?

Michael Forman practices at 23 Maple Ave, Greenwich, CT 06830. The listed phone number is (203) 661-5858.

What is Michael Forman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Michael Forman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Michael Forman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Forman was last updated on December 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.