Foley Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026804 Issued in IL

Legal business name

FOLEY DENTAL GROUP, LLC

Practice address

2016 Vadalabene Dr
Maryville, IL 62062-6901

Phone

(618) 288-9670

NPI assigned

Mar 30, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Foley, DMD

Title

Owner

Phone

(618) 288-9670

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1609018175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 VADALABENE DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626901",
            "telephone_number": "618-288-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 VADALABENE DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626901",
            "telephone_number": "618-288-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLEY DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-288-9670",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Fay
• Tayler Rae Fazil, AUD
• Mark Stephen Fedder, MD
• Rebekah Feeney, DNP, APRN, PMHNP-BC
• Marsheika Filer, NP
• Andrea M. Foley, D.M.D
• Kathryn Followell, MD
• Barbara Joy Foner, MD MPH FCCP ABSM
• Foot Health Centers PC
• Doreen Kelly Forbes, LCPC

• General Practice Dentistry in Maryville, IL
• Providers in Maryville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.