# FOGO AND FOGO DDS ASSOCIATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548344880
- **Authorized official:** DR. JAMES M FOGO SR. DDS (PRESIDENT/DENTIS)
- **Authorized official phone:** (423) 899-1948

## Contact information

- **Practice address:** 4933 BRAINERD RD, CHATTANOOGA, TN 37411-3902
- **Practice address phone:** (423) 899-1948
- **Practice address fax:** (423) 855-5905
- **Mailing address:** 4933 BRAINERD RD, CHATTANOOGA, TN 37411-3902
- **Mailing address phone:** (423) 899-1948
- **Mailing address fax:** (423) 855-5905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3448 | TN | Yes |
| 1223G0001X | General Practice Dentistry | 778 | TN | — |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020