Tara a Fogle, D.M.D, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TARA A FOGLE, D.M.D, P.C.

Practice address

98 N Park Dr
Fayetteville, GA 30214-1645

Phone

(770) 461-1141

Fax

(770) 461-1143

NPI assigned

Jan 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Tara Austin Fogle, DMDNPI 1073779773

Title

Owner/President

Phone

(770) 461-1141

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Austin Fogle, D.M.D.

  • General Practice Dentistry
  • Fayetteville, GA
  • NPI 1073779773
  NPD Authorized official
• Jacqueline Delash, DMD, MBA, MPH

  • General Practice Dentistry
  • Peachtree City, GA
  • NPI 1275916728
  NPD (past)

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1841889342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 N PARK DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141645",
            "telephone_number": "770-461-1141",
            "fax_number": "770-461-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 N PARK DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141645",
            "telephone_number": "770-461-1141",
            "fax_number": "770-461-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA A FOGLE, D.M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-461-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olufemi Abiodun Taiwo, M.D
• Talk Therapy Home Health Service LLC
• Joanne Talley, RD, LD, CDE
• Suzanne Renee Tambasco, NP
• Tyneshea Marlene Tanner, PHARM.D.
• Eric Tarver, RBT
• Davina Taylor, M. ED.
• Laura H Taylor, ATC
• Laurel Key Taylor
• Maurisha Taylor, PA

• General Practice Dentistry in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.