Provider Demographics
NPI:1619558103
Name:DAVE E FOULKES DDS PLLC
Entity Type:Organization
Organization Name:DAVE E FOULKES DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARNICA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOULKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-699-9947
Mailing Address - Street 1:895 S BECKFORD DR STE B
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-5950
Mailing Address - Country:US
Mailing Address - Phone:252-492-8080
Mailing Address - Fax:252-438-6105
Practice Address - Street 1:895 S BECKFORD DR STE B
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-5950
Practice Address - Country:US
Practice Address - Phone:252-492-8080
Practice Address - Fax:252-438-6105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental