MEDICARE: RENEE GASKEY-FOLEY, D.D.S., P.A.

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
1	1223G0001X	General Practice Dentistry	6434	NC

General Provider Information

NPI Number	:	1588678239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEE GASKEY-FOLEY, D.D.S., P.A.

Provider Business Mailing Address
First Line	:	3520 UNIVERSITY DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-2636
Country	:	US
Telephone Number	:	919-489-2673
Fax Number	:	919-489-6178

Provider Business Practice Location Address
First Line	:	3520 UNIVERSITY DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-2636
Country	:	US
Telephone Number	:	919-489-2673
Fax Number	:	919-489-6178

Authorized Official
Title or Position	:	PRESIDENT,OWNER
Name	:	DR. RENEE GASKEY-FOLEY
Credential	:	D.D.S.
Telephone Number	:	919-489-2673

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/22/2020

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