Individual provider · Type 1 NPI

Laura L. Fogle, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Grand Rapids, MI

NPI number 1619180148 Active

Practice location

933THREE Mile Rd., NW Ste 102
Grand Rapids, MI 49544-8216

Call (616) 784-5993 Map

Fax (616) 784-5995

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2901016682 (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 1619180148

Laura L. Fogle, DDS, M.S.'s National Provider Identifier is 1619180148, issued on May 8, 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 Mar 29, 2012.