Individual
DR. CHRISTOPHER FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
205 S JACKSON ST, TULLAHOMA, TN 37388-4426
(931) 455-0146
(931) 393-3863
Mailing address
205 S JACKSON ST, TULLAHOMA, TN 37388-4426
(931) 455-0146
(931) 393-3863
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8400
TN
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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