DR. Tara Austin Fogle, D.M.D.
NPI #1073779773 in Fayetteville, Georgia
Provider Information
- NPI Number
- 1073779773
- Entity Type
- Individual
- Name
- DR. Tara Austin Fogle, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Aug 1, 2008
- Last Updated
- Jan 6, 2021
Practice Location
- Address
- 98 N PARK DR
- City
- Fayetteville
- State
- Georgia
- ZIP Code
- 30214-1645
- Phone
- (770) 461-1141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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