Provider Demographics
NPI:1356396972
Name:FOUST, DANA RONALD (DDS)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:RONALD
Last Name:FOUST
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 1:3508 MARYVILLE PIKE
Mailing Address - Street 2:ARROWHEAD CENTER
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-6195
Mailing Address - Country:US
Mailing Address - Phone:865-573-6666
Mailing Address - Fax:865-579-4045
Practice Address - Street 1:3508 MARYVILLE PIKE
Practice Address - Street 2:ARROWHEAD CENTER
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-6195
Practice Address - Country:US
Practice Address - Phone:865-573-6666
Practice Address - Fax:865-579-4045
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS2836122300000X
NC4159122300000X
KY4533122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist