Provider Demographics
NPI:1346310513
Name:FOLEY, DAVID B (DDS, MS, PC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:FOLEY
Suffix:
Gender:M
Credentials:DDS, MS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4202 N 32ND ST
Mailing Address - Street 2:SUITE K
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-4746
Mailing Address - Country:US
Mailing Address - Phone:602-956-6355
Mailing Address - Fax:602-956-0649
Practice Address - Street 1:4202 N 32ND ST
Practice Address - Street 2:SUITE K
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4746
Practice Address - Country:US
Practice Address - Phone:602-956-6355
Practice Address - Fax:602-956-0649
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36061223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics