DR. MARK DALE FOSTER (NPI# 1497030100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497030100 |
| Entity Type | Individual |
| Full Name | DR. MARK DALE FOSTER |
| Credential | DDS MS |
| Practice Address |
413 N 17th Ave Wausau WI 54401-4226 |
| Mailing Address |
4302 Canvasback Ln Wausau WI 54401-9146 |
| Practice Telephone | 7158424649 |
| Mailing Telephone | 4145813222 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6740-15 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033304266 | Mark Foster | Psychologist | 2730 N Stemmons Fwy, West Tower Suite 407, Dallas, TX 75207-2279 | 2007-09-11 |
| 1477608008 | Mark B. Foster | Dentist | 856 N State St, Lockport, IL 60441-2229 | 2007-01-24 |
| 1861505083 | Mark Foster | Counselor | 100 E Broad St, Mansfield, TX 76063-1702 | 2006-08-15 |
| 1174547459 | Mark R. Foster | Specialist | 602 Baldwin St, Bridgeville, PA 15017-2525 | 2006-07-27 |
| 1467470096 | Mark Allen Foster | Dentist | 4160 Randmore Ct, Columbus, OH 43220-4440 | 2006-07-18 |
| 1609876788 | Mark D Foster | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2005-07-29 |
| 1285055327 | Mark Foster | Counselor | 4210 N Frontage Rd, Fayetteville, AR 72703-5001 | 2013-12-16 |
| 1629414636 | Mark B Foster | Internal Medicine | 1501 S Potomac St, Aurora, CO 80012-5411 | 2013-05-16 |
| 1073956256 | Mark Owen Foster | Counselor | 2415 Se 43rd Ave, Suite 200, Portland, OR 97206-1600 | 2013-04-08 |
| 1053653394 | Mark Thomas Foster | Emergency Medicine | 300 Community Dr, Dept. of Emeregency Medicine, Manhasset, NY 11030-3816 | 2013-03-25 |
| Street Address |
413 N 17TH AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477520815 | Joshua J Spiegl | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2006-03-03 |
| 1548751043 | John Robert Clifford | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2018-05-21 |
| 1184021230 | Amanda Marie Beversdorf | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401 | 2014-12-04 |
| 1932482841 | First Impressions, Sc Orthodontics | Clinic/Center | 413 N 17th Ave, Wausau, WI 54401-4226 | 2011-09-27 |
| 1194964783 | Tuesday Dawn Nelson | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-02-05 |
| 1942448634 | Angela Moua | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-02-03 |
| 1558509729 | Jessica Zelenka | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-01-27 |
| 1255579512 | Shannon Michaela Mudler | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-01-25 |
| 1144468653 | Laurie Johnson | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-01-22 |
| 1235376740 | Sue Ann Stoltz | Dental Hygienist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2009-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033365077 | Edward Carlton Fox | Dentist | 1 Corporate Dr Ste 103, Wausau, WI 54401-1725 | 2008-08-11 |
| 1669690475 | Richard Allen Hovda | Dentist | 519 N 17th Ave, Wausau, WI 54401-2910 | 2007-04-24 |
| 1508964842 | Gregory A Lamansky | Dentist | 5305 Rib Mountain Dr, Wausau, WI 54401-7562 | 2006-09-20 |
| 1194837344 | John Thomas Dovorany | Dentist | 216 South Third Avenue, Wausau, WI 54403 | 2006-08-31 |
| 1265891501 | Kristo, Ltc | Dentist | 519 N 17th Ave, Wausau, WI 54401-2910 | 2016-02-15 |
| 1467656843 | Jeffrey Allan Foster | Dentist | 413 N 17th Ave, Wausau, WI 54401-4226 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488075 | Kristo Ltd | Dentist | 440 Chestnut St # 100, Wisconsin Rapids, WI 54494-4807 | 2020-02-11 |
| 1578104006 | Daniela Amaya Fuenmayor | Dentist | 11011 W North Ave Apt 367, Wauwatosa, WI 53226-2271 | 2019-10-07 |
| 1295382992 | Noble Orthodontics, LLC | Dentist | 109 N Dodge St, Burlington, WI 53105-1918 | 2019-08-19 |
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1811498561 | Orthodontic Specialists of Onalaska and The Coulee Region | Dentist | 2747 National Dr, Onalaska, WI 54650-8784 | 2018-02-27 |
| 1508247198 | Lauren Evan Montoure Teske | Dentist | 2000 Shady Ln, Green Bay, WI 54313-9311 | 2015-06-09 |
| 1588042154 | Bubon & Associates, Orthodontics, Sc | Dentist | 4950 S 27th St, Milwaukee, WI 53221-2606 | 2015-05-14 |
| 1235517897 | 1bubon & Associates, Orthodontics, Sc | Dentist | 1701 N Mayfair Rd, Suite C, Wauwatosa, WI 53226-3046 | 2015-05-14 |
| 1851779417 | Bubon & Associates, Orthodontics, Sc | Dentist | W188s7830 Racine Ave, Suite 300, Muskego, WI 53150-8290 | 2015-05-14 |
| 1578941548 | Bubon & Associates, Orthodontics, Sc | Dentist | N4w21680 Bluemound Rd, Waukesha, WI 53186-2943 | 2015-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.