Provider Demographics
NPI:1851433932
Name:FOLEY, DANIEL B (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:FOLEY
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1440 28TH ST
Mailing Address - Street 2:STE. 2
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1030
Mailing Address - Country:US
Mailing Address - Phone:303-444-2255
Mailing Address - Fax:720-565-1091
Practice Address - Street 1:1440 28TH ST
Practice Address - Street 2:STE. 2
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1030
Practice Address - Country:US
Practice Address - Phone:303-444-2255
Practice Address - Fax:720-565-1091
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1048711223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery