Elizabeth Ann Foss, DMD
Individual provider Active NPI General Practice Dentistry · Pine City, MN
NPI 1306579396 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1306579396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D14797 (MN)
- Practice address
- 1105 Hillside Ave SW
Pine City, MN 55063-2153 - Phone
- (320) 336-8927
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14797 | MN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D14797 | MN | Yes |
Addresses
Primary practice location
1105 Hillside Ave SW
Pine City, MN 55063-2153
Mailing address
1105 Hillside Ave SW
Pine City, MN 55063-2153
Other providers in Pine City, MN
- Scott Robert Emmons
- Empower Recovery Services LLC
- Epicenterphd Inc
- Emily Erickson
- Fairview Clinics
- Katelyn Jo France
- Karlie Gams
- Kalli Gilbertson
- Golden Horizon Assisted, Inc.
- Camille Kay Gorsegner
All providers in Pine City, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.