Healthcare Provider Details

I. General information

NPI: 1811044720
Provider Name (Legal Business Name): ROBERT DUANE FOIT D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/22/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 EAST 2ND AVE SUITE 210
WILLIAMSON WV
25661-1677
US

IV. Provider business mailing address

184 EAST 2ND AVE SUITE 210
WILLIAMSON WV
25661
US

V. Phone/Fax

Practice location:
  • Phone: 304-236-5902
  • Fax: 304-235-7041
Mailing address:
  • Phone: 304-236-5902
  • Fax: 304-235-7041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6920
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4373
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: