Healthcare Provider Details

I. General information

NPI: 1356549646
Provider Name (Legal Business Name): APRIL MARIE NELSON FOSTER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2007
Last Update Date: 03/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 S RESERVE ST STE D
MISSOULA MT
59801-7652
US

IV. Provider business mailing address

225 HASTINGS AVE
MISSOULA MT
59801-5951
US

V. Phone/Fax

Practice location:
  • Phone: 406-541-7334
  • Fax: 406-541-7338
Mailing address:
  • Phone: 406-936-9561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number2277
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: