Provider Demographics
NPI:1356549646
Name:FOSTER, APRIL MARIE NELSON (DDS)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:MARIE NELSON
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 HASTINGS AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-5951
Mailing Address - Country:US
Mailing Address - Phone:406-936-9561
Mailing Address - Fax:
Practice Address - Street 1:3020 S RESERVE ST STE D
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7652
Practice Address - Country:US
Practice Address - Phone:406-541-7334
Practice Address - Fax:406-541-7338
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-07
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT22771223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1942483524OtherOFFICE NATIONAL PROVIDER IDENTIFIER