Provider Demographics
NPI:1972171270
Name:FOLAND, CORY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CORY
Middle Name:
Last Name:FOLAND
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 1:427 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:WAHOO
Mailing Address - State:NE
Mailing Address - Zip Code:68066-1963
Mailing Address - Country:US
Mailing Address - Phone:402-443-4989
Mailing Address - Fax:
Practice Address - Street 1:427 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:WAHOO
Practice Address - State:NE
Practice Address - Zip Code:68066-1963
Practice Address - Country:US
Practice Address - Phone:402-443-4989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE77061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice