Individual provider · Type 1 NPI

Mark Dale Foster, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · Wausau, WI

NPI number 1497030100 Active

Practice location

413 N 17th Ave
Wausau, WI 54401-4226

Mailing address

4302 Canvasback Ln
Wausau, WI 54401-9146

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X6740-15 (WI)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1497030100

Mark Dale Foster, DDS MS's National Provider Identifier is 1497030100, issued on Oct 13, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wausau, WI. The record was last updated on Oct 13, 2011.