Provider Demographics
NPI:1295930303
Name:FOLTZ, VICTOR CLARKE III (DMD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:CLARKE
Last Name:FOLTZ
Suffix:III
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 1:121 E MAIN ST REAR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-2009
Mailing Address - Country:US
Mailing Address - Phone:717-627-7553
Mailing Address - Fax:717-627-7574
Practice Address - Street 1:121 E MAIN ST REAR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-2009
Practice Address - Country:US
Practice Address - Phone:717-627-7553
Practice Address - Fax:717-627-7574
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028630L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist