# FOGLE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1669781977
- **Authorized official:** JAY BRADFORD FOGLE DDS (OWNER/DENTIST)
- **Authorized official phone:** (206) 992-4148

## Contact information

- **Practice address:** 1275 NE FRANKLIN AVE, SUITE A, BREMERTON, WA 98311-3005
- **Practice address phone:** (360) 377-0803
- **Mailing address:** 1275 NE FRANKLIN AVE, SUITE A, BREMERTON, WA 98311-3005
- **Mailing address phone:** (360) 377-0803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60140278 | WA | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 10/04/2010