Provider Demographics
NPI:1285811398
Name:JODI HAMILTON FOY, DDS, PA
Entity type:Organization
Organization Name:JODI HAMILTON FOY, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-787-9894
Mailing Address - Street 1:217 W MILLBROOK RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4376
Mailing Address - Country:US
Mailing Address - Phone:919-787-9894
Mailing Address - Fax:
Practice Address - Street 1:217 W MILLBROOK RD
Practice Address - Street 2:SUITE D
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4376
Practice Address - Country:US
Practice Address - Phone:919-787-9894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6140261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental