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NPI Code Detail

MEDICARE: DR. TAYLOR FOULGER D.M.D

MEDICARE:  DR. TAYLOR  FOULGER  D.M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6871OK

General Provider Information

NPI Number : 1184172199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAYLOR FOULGER D.M.D
Provider Business Mailing Address
First Line : 5920 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4277
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5920 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4277
Country : US
Telephone Number : 405-494-4961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2016
Last Update Date : 09/19/2016

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Directions to “ DR. TAYLOR FOULGER D.M.D” Practice Location

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