Laura L. Fogle, D.D.S., M.S., P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901016682 Issued in MI

Legal business name

LAURA L. FOGLE, D.D.S., M.S., P.C.

Practice address

890 Three Mile Rd., NW
Grand Rapids, MI 49544-8216

Phone

(616) 784-5993

Fax

(616) 784-5995

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Laura L. Fogle, D.D.S, M.S.

Title

Owner

Phone

(616) 784-5993

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053523548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 THREE MILE RD., NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448216",
            "telephone_number": "616-784-5993",
            "fax_number": "616-784-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 THREE MILE RD., NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448216",
            "telephone_number": "616-784-5993",
            "fax_number": "616-784-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA L. FOGLE, D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-784-5993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901016682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.