Provider Demographics
NPI:1164687208
Name:FOLSKE, JAMES ROY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROY
Last Name:FOLSKE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 S 12TH ST
Mailing Address - Street 2:STE 1
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6626
Mailing Address - Country:US
Mailing Address - Phone:701-221-0518
Mailing Address - Fax:701-221-0537
Practice Address - Street 1:1223 S 12TH ST
Practice Address - Street 2:STE 1
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6626
Practice Address - Country:US
Practice Address - Phone:701-221-0518
Practice Address - Fax:701-221-0537
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1450122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1450OtherSTATE LICENSE