Provider Demographics
NPI:1689993479
Name:D. RONALD FOUST, D.D.S., P.C.
Entity Type:Organization
Organization Name:D. RONALD FOUST, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:FOUST
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:865-573-6666
Mailing Address - Street 1:3508 MARYVILLE PIKE STE D
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-6195
Mailing Address - Country:US
Mailing Address - Phone:865-573-6666
Mailing Address - Fax:865-579-4045
Practice Address - Street 1:3508 MARYVILLE PIKE STE D
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-6195
Practice Address - Country:US
Practice Address - Phone:865-573-6666
Practice Address - Fax:865-579-4045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS2836261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental