Provider Demographics
NPI:1831280262
Name:FOLEY, THOMAS J (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:FOLEY
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 1:7340 W 21ST ST N
Mailing Address - Street 2:STE 104
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1770
Mailing Address - Country:US
Mailing Address - Phone:316-773-3311
Mailing Address - Fax:316-773-2139
Practice Address - Street 1:7340 W 21ST ST N
Practice Address - Street 2:STE 104
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1770
Practice Address - Country:US
Practice Address - Phone:316-773-3311
Practice Address - Fax:316-773-2139
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS69061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice