Blanchard, Swinson, Fogle

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AB6670283 Issued in GA

Legal business name

BLANCHARD, SWINSON, FOGLE

Practice address

98 N Park Dr
Fayetteville, GA 30214-1645

Phone

(770) 461-1141

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Denise Hood

Title

Manager

Phone

(770) 631-7001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1962666032",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCHARD, SWINSON, FOGLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-631-7001"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "AB6670283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Lauren Blaides, BSW
• Shineille Blair, DDS
• Robert Edward Blake, D.D.S.,M.S.
• Beverly Blakely, PT
• Chena Blanchard, LPC
• Thomas D Blaney, D.D.S,M.S.
• Rachel Blanks, LPN
• Miranda M Blaser, DPT
• Blessed Hands Mobile Lab
• Blessings Assurance Personal Care Home

• 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 Jul 17, 2008; 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.