MEDICARE: DR. TIMOTHY SCOTT FOSTER 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
1	1223G0001X	General Practice Dentistry	DS 3904	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	67004	OTHER	TN	BLUE CROSS BLUE SHIELD
2	3904	OTHER	TN	DELTA DENTAL

General Provider Information

NPI Number	:	1730214404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY SCOTT FOSTER D.M.D.

Provider Business Mailing Address
First Line	:	2531 PARK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-2158
Country	:	US
Telephone Number	:	615-883-7700
Fax Number	:	615-883-7727

Provider Business Practice Location Address
First Line	:	2531 PARK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-2158
Country	:	US
Telephone Number	:	615-883-7700
Fax Number	:	615-883-7727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	07/08/2007

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