Healthcare Provider Details

I. General information

NPI: 1871667527
Provider Name (Legal Business Name): MICHAEL J FOY DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7560 RANGEWOOD DR STE 100
COLORADO SPRINGS CO
80920-4199
US

IV. Provider business mailing address

7560 RANGEWOOD DR STE 100
COLORADO SPRINGS CO
80920-4199
US

V. Phone/Fax

Practice location:
  • Phone: 719-597-6800
  • Fax: 719-590-9407
Mailing address:
  • Phone: 719-597-6800
  • Fax: 719-590-9407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number04215
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: