Provider Demographics
NPI:1437115052
Name:FOULKES, JAMES H (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:FOULKES
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 1:1503 OHIO STREET
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-4009
Mailing Address - Country:US
Mailing Address - Phone:812-232-4252
Mailing Address - Fax:812-238-9143
Practice Address - Street 1:1503 OHIO STREET
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-4009
Practice Address - Country:US
Practice Address - Phone:812-232-4252
Practice Address - Fax:812-238-9143
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007858A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice