Provider Demographics
NPI:1568552776
Name:FOLEY FAMILY DENTISTRY
Entity Type:Organization
Organization Name:FOLEY FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ASPRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:251-943-8547
Mailing Address - Street 1:815 N ALSTON ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-3509
Mailing Address - Country:US
Mailing Address - Phone:251-943-8547
Mailing Address - Fax:
Practice Address - Street 1:815 N ALSTON ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3509
Practice Address - Country:US
Practice Address - Phone:251-943-8547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3076122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL38559OtherBLUE CROSS PROVIDER NO.
102853OtherCONCORDIA PROVIDER NO.