Healthcare Provider Details

I. General information

NPI: 1528168713
Provider Name (Legal Business Name): KAREN DIANE FOSTER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W 6TH AVE FL G3
DENVER CO
80204-5182
US

IV. Provider business mailing address

7600 LANDMARK WAY UNIT 814
GREENWOOD VILLAGE CO
80111-1964
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-1423
  • Fax: 303-602-6809
Mailing address:
  • Phone: 303-883-3464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number8887
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: