Foster, Jeffrey Paul

Foster, Jeffrey Paul is an sole proprietor health care provider with primary practice located at 11601 Minnetonka Mills Rd Ste B40 , Minnetonka MN 55305-5175. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Foster, Jeffrey Paul can be contacted via phone (952) 933-1361.

Contact Information

Primary practice address
11601 Minnetonka Mills Rd Ste B40 Minnetonka MN 55305-5175
Phone: (952) 933-1361
Fax: (952) 933-9770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D10743 Minnesota

Profile Details

NPI number 1033117551
LBN Legal business name Foster, Jeffrey Paul
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Apr 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033117551 NPPES
Minnesota Other 7B016FO BCBS OF MN
Minnesota Other 471527262 BCBS OF MN
Minnesota Other 839878 BCBS OF MN
Minnesota MEDICAID 637214700 BCBS OF MN

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