Individual
DR. MICHAEL FOGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1527 ROUTE 12 STE 2, GALES FERRY, CT 06335-1800
(860) 464-1370
Mailing address
1527 ROUTE 12 STE 2, GALES FERRY, CT 06335-1800
(570) 550-0705
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12758
CT
Other
Enumeration date
02/05/2020
Last updated
06/01/2020
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