Provider Demographics
NPI:1356574685
Name:DENNIS GENE FOSTER,JR.,D.D.S.
Entity type:Organization
Organization Name:DENNIS GENE FOSTER,JR.,D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-252-6551
Mailing Address - Street 1:2340 YORK RD
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2216
Mailing Address - Country:US
Mailing Address - Phone:410-252-6551
Mailing Address - Fax:410-252-2137
Practice Address - Street 1:2340 YORK RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2216
Practice Address - Country:US
Practice Address - Phone:410-252-6551
Practice Address - Fax:410-252-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7252261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental