Provider Demographics
NPI:1730235581
Name:FOOTE, CATHERINE (DMD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:FOOTE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S BRYN MAWR AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3124
Mailing Address - Country:US
Mailing Address - Phone:610-525-6142
Mailing Address - Fax:
Practice Address - Street 1:101 S BRYN MAWR AVE STE 320
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3124
Practice Address - Country:US
Practice Address - Phone:610-525-6142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0364301223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics