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NPI Code Detail

MEDICARE: JOHN D. FOLKERS, D.D.S., P.C.

MEDICARE: JOHN D. FOLKERS, D.D.S., P.C.
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
1122300000XDentist12009755IN

General Provider Information

NPI Number : 1346302874
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN D. FOLKERS, D.D.S., P.C.
Provider Business Mailing Address
First Line : 1827 NORTHWESTERN AVE
Second Line :
City : W LAFAYETTE
State : IN
Zip : 47906-2279
Country : US
Telephone Number : 765-463-5200
Fax Number : 765-464-0602
Provider Business Practice Location Address
First Line : 1827 NORTHWESTERN AVE
Second Line :
City : W LAFAYETTE
State : IN
Zip : 47906-2279
Country : US
Telephone Number : 765-463-5200
Fax Number : 765-464-0602
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN D. FOLKERS
Credential : DDS
Telephone Number : 765-463-5200
Provider Enumeration Date : 12/14/2006
Last Update Date : 08/22/2020

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Directions to “JOHN D. FOLKERS, D.D.S., P.C. ” Practice Location

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