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Deactivated NPI 1023029378 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Kent Forth , DDS

Dentist - General Practice • Edmond, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Forth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2006
NPI Deactivation Date September 18, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Forth, DDS was a registered Dentist - General Practice practicing in Edmond, OK. Throughout an active medical career spanning 18 years, Dr. Forth provided care at the practice location at 1219 E 9TH ST until profile deactivation on 2024-09-18.

Practice Location & Contact Primary Location

Practice Address

1219 E 9th St

Edmond, OK 730345708

Telephone 4053419351
Fax 4053412943
Associated Practice Facility / Clinic
🏢 Kari E. Bender, Dds, Pc Facility NPI 1720302359

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
71 Specialists

Practicing in Edmond, OK (1496 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 3556

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kari Bender , DDS

Dentist - General Practice

NPI 1366604530

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 18, 2024

Record deactivated on September 18, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1219 E 9TH ST, EDMOND, OK 730345708 (Tel: 4053419351)

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Updated Business Mailing Address July 08, 2007

Registered at 1219 E 9TH ST, EDMOND, OK 730345708 (Tel: 4053419351)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL FORTH, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3556 in OK)

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Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023029378
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: July 08, 2007
Deactivation Date: September 18, 2024

Mailing Address

1219 E 9th St

Edmond, OK 730345708

Phone: 4053419351

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.