MEDICARE: JODI HAMILTON FOY, DDS, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	6140	NC

General Provider Information

NPI Number	:	1285811398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JODI HAMILTON FOY, DDS, PA

Provider Business Mailing Address
First Line	:	217 W MILLBROOK RD
Second Line	:	SUITE D
City	:	RALEIGH
State	:	NC
Zip	:	27609-4376
Country	:	US
Telephone Number	:	919-787-9894
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 W MILLBROOK RD
Second Line	:	SUITE D
City	:	RALEIGH
State	:	NC
Zip	:	27609-4376
Country	:	US
Telephone Number	:	919-787-9894
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MISS ERIN L. SULLIVAN
Credential	:
Telephone Number	:	919-787-9894

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	01/31/2008

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