=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013863620
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DENNIS G. FOSTER, JR., DDS., PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2026
-----------------------------------------------------
Last Update Date | 03/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5129 HARFORD RD
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21214-2943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-254-8891
-----------------------------------------------------
Fax | 410-426-6961
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5129 HARFORD RD
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21214-2943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-254-8891
-----------------------------------------------------
Fax | 410-426-6961
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DENNIS G. FOSTER, JR
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 410-254-8891
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223D0001X
-----------------------------------------------------
Taxonomy Name | Public Health Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------