Provider Demographics
NPI:1669694980
Name:FOSTER, THOMAS A III (DMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:A
Last Name:FOSTER
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 1:937 COLUMBIA AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-1687
Mailing Address - Country:US
Mailing Address - Phone:609-898-0404
Mailing Address - Fax:609-898-0992
Practice Address - Street 1:937 COLUMBIA AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-1687
Practice Address - Country:US
Practice Address - Phone:609-898-0404
Practice Address - Fax:609-898-0992
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ16809122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist