Search › Illinois › 1223P0700X
Keaton Forrester, DMD
NPI 1578927786 · on the registry since 2016
Practice
- Address
- 375 Mdg 310 West Losey
Scott Afb, IL 62225 - Phone
- (618) 256-6667
Registry record
- Primary taxonomy
- 1223P0700X
1223P0700X
- Also registered as
- 1223G0001X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois