Individual
DR. JOHN S FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.D.
Contact information
Practice address
1903 S 6TH ST, BRAINERD, MN 56401-4599
(218) 829-1728
(218) 829-1729
Mailing address
1903 S 6TH ST, BRAINERD, MN 56401-4599
(218) 829-1728
(218) 829-1729
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11925
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132284
UCARE
MN
01
—
271L4-FO
BLUE PLUS
MN
05
—
517469400
—
MN
01
—
86-00416
MEDICA MNCARE-BRAINERD
MN
01
—
86-00422
MEDICA MNCARE-LITTLE FALL
MN
01
—
86-00424
MEDICA MNCARE-BEMIDJI
MN
01
—
86-00425
MEDICA MNCARE-DETROIT LAK
MN
01
—
9177849
DORAL DENTAL
MN
Enumeration date
01/20/2006
Last updated
01/13/2011
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