Laura L. Fogle in Grand Rapids - Orthodontics And Dentofacial Orthopedics
Laura L. Fogle - NPI 1619180148
Laura L. Fogle is a Orthodontics And Dentofacial Orthopedics in Grand Rapids, Michigan. Laura L. Fogle practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Laura L. Fogle is 1619180148. The last update date is 2012-03-29.
Laura L. Fogle's current location address is 933three Mile Rd., Nw Ste 102, Grand Rapids, Michigan. You can contact this provider via phone number 6167845993 and fax number 6167845995. The mailing address for Laura L. Fogle is 933three Mile Rd., Nw Ste 102, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura L. Fogle |
|---|---|
| Address | 933three Mile Rd., Nw Ste 102, Grand Rapids, Michigan |
| Phone Number | 6167845993 |
| Fax Number | 6167845995 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1619180148 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2012-03-29 |
Provider Mailing Address Detail
| Address | 933three Mile Rd., Nw Ste 102 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495448216 |
| Phone Number | 6167845993 |
| Fax Number | 6167845995 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 2901016682 |
|
Definition: 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 rel |
|
Post Comment/ Review Below
What is the Laura L. Fogle's 1619180148?
The Laura L. Fogle's NPI (National Provider Identifier) Number is 1619180148. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Laura L. Fogle is located?
The Laura L. Fogle is situated at the following address: 933Three Mile Rd., Nw Ste 102, Grand Rapids, MI, 495448216.
What is Laura L. Fogle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Laura L. Fogle is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did the Laura L. Fogle receive the assignment of its 1619180148 from the Centers for Medicare & Medicaid Services?
The Laura L. Fogle was issued its 1619180148 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date were the details related to Laura L. Fogle most recently updated or revised?
The information pertaining to Laura L. Fogle, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-29.