Provider Demographics
NPI:1710156021
Name:FOSTER MCARTHUR DENTAL, PC
Entity Type:Organization
Organization Name:FOSTER MCARTHUR DENTAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WALLACE
Authorized Official - Middle Name:FOSTER
Authorized Official - Last Name:MCARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-484-9000
Mailing Address - Street 1:5516 N FRY RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5746
Mailing Address - Country:US
Mailing Address - Phone:832-484-9000
Mailing Address - Fax:
Practice Address - Street 1:4157 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3403
Practice Address - Country:US
Practice Address - Phone:832-484-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX085541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty