Provider Demographics
NPI:1184404303
Name:FOLKE, JARED (DMD)
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:
Last Name:FOLKE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 INDIES DR E UNIT 201
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-9835
Mailing Address - Country:US
Mailing Address - Phone:219-476-5875
Mailing Address - Fax:
Practice Address - Street 1:163 INDIES DR E UNIT 201
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-9835
Practice Address - Country:US
Practice Address - Phone:219-476-5875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN28512122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist