Provider Demographics
NPI:1871677823
Name:FOER, CHARLES J (DDSMAGD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:J
Last Name:FOER
Suffix:
Gender:M
Credentials:DDSMAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4824 E TRINDLE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-3617
Mailing Address - Country:US
Mailing Address - Phone:717-761-8056
Mailing Address - Fax:717-975-3539
Practice Address - Street 1:4824 E TRINDLE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3617
Practice Address - Country:US
Practice Address - Phone:717-761-8056
Practice Address - Fax:717-975-3539
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023488L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA416672OtherUNITED CONCORDIA PROVIDER
PA450208OtherUNITED CONCORDIA PROVIDER