Provider Demographics
NPI:1871667527
Name:FOY, MICHAEL J (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:FOY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7560 RANGEWOOD DR
Mailing Address - Street 2:STE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4199
Mailing Address - Country:US
Mailing Address - Phone:719-597-6800
Mailing Address - Fax:719-590-9407
Practice Address - Street 1:7560 RANGEWOOD DR
Practice Address - Street 2:STE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-4199
Practice Address - Country:US
Practice Address - Phone:719-597-6800
Practice Address - Fax:719-590-9407
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO042151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics