Foster, Michael David

Foster, Michael David is an individual health care provider with primary practice located at 117 W Sevier Ave Suite 220, Kingsport TN 37660-3799. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Foster, Michael David can be contacted via phone (423) 224-3200.

Contact Information

Primary practice address
117 W Sevier Ave Suite 220 Kingsport TN 37660-3799
Phone: (423) 224-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA560 Kentucky
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 9027 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9027 Kentucky

Profile Details

NPI number 1962474304
LBN Legal business name Foster, Michael David
Credentials DMD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Sep 13th, 2016 - about 10 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 1962474304 NPPES
Kentucky Other 000000184655 BCBS PIN #
Kentucky MEDICAID 9500101200 BCBS PIN #
Kentucky Other 970014810 BCBS PIN #

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