Provider Demographics
NPI:1982876934
Name:JENNIFER L FOLEY DDS
Entity type:Organization
Organization Name:JENNIFER L FOLEY DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-366-2466
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:437 EAGLE ST
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-0144
Mailing Address - Country:US
Mailing Address - Phone:716-366-2466
Mailing Address - Fax:716-366-2466
Practice Address - Street 1:437 EAGLE ST
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14148-0144
Practice Address - Country:US
Practice Address - Phone:716-366-2466
Practice Address - Fax:716-366-2466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0475271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01934261Medicaid