Organization · Type 2 NPI

Laura L. Fogle, D.d.s., M.s., P.c.

Orthodontics and Dentofacial Orthopedics Dentistry · Grand Rapids, MI

NPI number 1053523548 Active

Practice location

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

Fax (616) 784-5995

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	2901016682 (MI)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1053523548

Laura L. Fogle, D.d.s., M.s., P.c.'s National Provider Identifier is 1053523548, issued on May 4, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 22, 2020.