Provider Demographics
NPI:1396743589
Name:FOSTER, ANTHONY H (DMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:H
Last Name:FOSTER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 MARINE AVE
Mailing Address - Street 2:STE 1-C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7745
Mailing Address - Country:US
Mailing Address - Phone:718-238-0748
Mailing Address - Fax:
Practice Address - Street 1:185 MARINE AVE
Practice Address - Street 2:STE 1-C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7745
Practice Address - Country:US
Practice Address - Phone:718-238-0748
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036505122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist