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NPI Code Detail

MEDICARE: DR. DONALD FOSTER DDS

MEDICARE: DR. DONALD FOSTER DDS
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 Dentistry051309NY

General Provider Information

NPI Number : 1720078983
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD FOSTER DDS
Provider Business Mailing Address
First Line : 10590 ENDURING FREEDOM DRIVE
Second Line : US ARMY DENTAL ACTIVITY
City : FORT DRUM
State : NY
Zip : 13602-5005
Country : US
Telephone Number : 315-772-6234
Fax Number : 315-774-3558
Provider Business Practice Location Address
First Line : 10590 ENDURING FREEDOM DRIVE
Second Line : US ARMY DENTAL ACTIVITY
City : FORT DRUM
State : NY
Zip : 13602-5005
Country : US
Telephone Number : 315-772-6234
Fax Number : 315-774-3558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 05/09/2011

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Directions to “ DR. DONALD FOSTER DDS” Practice Location

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