Provider Demographics
NPI:1528168713
Name:FOSTER, KAREN DIANE (DDS)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:DIANE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 LANDMARK WAY UNIT 814
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1964
Mailing Address - Country:US
Mailing Address - Phone:303-883-3464
Mailing Address - Fax:
Practice Address - Street 1:301 W 6TH AVE FL G3
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-5182
Practice Address - Country:US
Practice Address - Phone:303-602-1423
Practice Address - Fax:303-602-6809
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO88871223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO75079020Medicaid
BF7873866OtherDEA US DEPT OF JUSTICE