Individual
SCOTT ALAN FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2041 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-5147
(336) 777-1272
(336) 777-1196
Mailing address
2041 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-5147
(336) 777-0303
(336) 777-3448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7674
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-902RE
—
NC
01
—
902RE
BLUE CROSS BLUE SHIELD NC
—
Enumeration date
08/25/2006
Last updated
07/08/2007
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