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General NPI Number Information
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NPI Number | 1174417653
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Entity Type | Organization
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Legal Business Name | FOLEY DENTAL PLLC
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 2505 WEDGEWOOD RD
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City | DES MOINES
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State | IA
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Zip | 50317-6027
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Country | US
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Telephone | 515-265-1406
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Fax |
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Provider Business Mailing Address
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Address Line | 4710 171ST ST
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City | URBANDALE
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State | IA
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Zip | 50323-6903
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Country | US
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Telephone | 515-822-4164
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Fax |
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Authorized Official
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Title or Position | OWNER - DENTIST
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Name | ALVIN RAY FOLEY II
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Credential | DDS
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Telephone | 515-822-4164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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