Dr Eric J Foster DDS PLC

Primary specialty

DentistTaxonomy code 122300000X

License

2901018395 Issued in MI

Legal business name

DR ERIC J FOSTER DDS PLC

Doing business as

36th Street Dental Associates

Practice address

630 36TH Street SW
Grand Rapids, MI 49509

Phone

(616) 538-4330

Fax

(616) 538-5353

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric John Foster, DDSNPI 1760505994

Title

Dentist

Phone

(616) 538-4330

Specialties & licenses 1

Addresses

Other names 1

• 36th Street Dental Associates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric J Foster, D.D.S.

  • Dentist
  • Grand Rapids, MI
  • NPI 1760505994
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689752537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 36TH STREET SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49509",
            "telephone_number": "616-538-4330",
            "fax_number": "616-538-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 36TH STREET SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49509",
            "telephone_number": "616-538-4330",
            "fax_number": "616-538-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ERIC J FOSTER DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-538-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "36th Street Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Dozeman, M.D.
• Michele Dozeman
• Rebecca Dozeman, LLMSW
• Dr Bruce a Fowler P C
• Dr Daniel Roberts PLLC (Woodmeadow Dentistry)
• Dr Fred PLLC (MI Partner Health)
• Dr Marcia Hollingsworth, Ed.D, PLLC
• Dr Marianne K Moayer OD PLLC
• Dr. Danielle Koestner, PLLC (Three Hearts Health)
• Dr. Gordon Vanotteren

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.