MEDICARE: FOSTER MCARTHUR DENTAL, PC

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	08554	TX

General Provider Information

NPI Number	:	1710156021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOSTER MCARTHUR DENTAL, PC

Provider Business Mailing Address
First Line	:	5516 N FRY RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-5746
Country	:	US
Telephone Number	:	832-484-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4157 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3403
Country	:	US
Telephone Number	:	832-484-9000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WALLACE FOSTER MCARTHUR
Credential	:	DDS
Telephone Number	:	832-484-9000

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	02/21/2008

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