Individual
DR. JEFFREY PAUL FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
11601 MINNETONKA MILLS RD STE B40, MINNETONKA, MN 55305-5175
(952) 933-1361
(952) 933-9770
Mailing address
11601 MINNETONKA MILLS RD STE B40, MINNETONKA, MN 55305-5175
(952) 933-1361
(952) 933-9770
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D10743
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
471527262
DELTA OF MINNESOTA
MN
05
—
637214700
—
MN
01
—
7B016FO
BCBS OF MN
MN
01
—
839878
UNITED CONCORDIA MILITARY
PA
Enumeration date
07/08/2005
Last updated
04/02/2019
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