Individual
DR. JONATHAN G. FOSHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, PC
Contact information
Practice address
1021 JUNIPER ST, JUNCTION CITY, OR 97448-1935
(541) 998-6252
(541) 998-7576
Mailing address
94026 RIVER RD, JUNCTION CITY, OR 97448-9414
(541) 998-6252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7654
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1488456
UNITED CONCORDIA
—
01
—
197171
CAPITOL DENTAL CARE
OR
01
—
297171
ODS - OHP
OR
Enumeration date
08/30/2006
Last updated
07/08/2007
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