Ken Foster, DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036877 Issued in PA

Legal business name

KEN FOSTER, DMD LLC

Practice address

683 S. Mountain Blvd Suite#4
Mountain Top, PA 18707-9603

Phone

(570) 678-3383

NPI assigned

Aug 22, 2011

Last updated

Aug 22, 2011By 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. Kenneth Robert Foster Jr., DMD

Title

Dentist/Owner

Phone

(570) 678-3384

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1710267869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 S. MOUNTAIN BLVD SUITE#4",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079603",
            "telephone_number": "570-678-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 S. MOUNTAIN BLVD SUITE#4",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079603",
            "telephone_number": "570-678-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN FOSTER, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "570-678-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Mountain Top, PA
• Providers in Mountain Top, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.