Larry E Fogo is a General Practice in Chattanooga, Tennessee. Larry E Fogo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Larry E Fogo is 1083798409. The last update date is 2007-07-08.
Larry E Fogo's current location address is 4933 Brainerd Rd, Chattanooga, Tennessee. You can contact this provider via phone number 4238991948 and fax number 4238555905. The mailing address for Larry E Fogo is 4933 Brainerd Rd, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry E Fogo |
|---|---|
| Address | 4933 Brainerd Rd, Chattanooga, Tennessee |
| Phone Number | 4238991948 |
| Fax Number | 4238555905 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083798409 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4933 Brainerd Rd |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374113902 |
| Phone Number | 4238991948 |
| Fax Number | 4238555905 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 778 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Larry E Fogo by the Centers for Medicare & Medicaid Services?
The Larry E Fogo has been issued the NPI (National Provider Identifier) 1083798409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Larry E Fogo is located?
The Larry E Fogo is situated at the following address: 4933 Brainerd Rd, Chattanooga, TN, 374113902.
What is the Larry E Fogo's specialty and taxonomy code?
The Larry E Fogo's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When was the Larry E Fogo's 1083798409 issued?
The Larry E Fogo's 1083798409 was issued on 2006-10-24.
As of what date were the details pertaining to Larry E Fogo last refreshed?
The information related to the Larry E Fogo, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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