Dr. Douglas Daniel Fogel, D.D.S.
Dentist, General Practice in Southfield, MI. Individual provider (NPI-1).
NPI number1245356997
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245356997
- Entity type
- Individual (NPI-1)
- Name
- Dr. Douglas Daniel Fogel
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14207 | MI | Yes |
Practice location
20100 W 12 Mile RdSouthfield, MI 48076-2437
Phone 248-353-5010 · Fax 248-353-5005
Mailing address
20100 W 12 Mile RdSouthfield, MI 48076-2437
Phone 248-353-5010 · Fax 248-353-5005
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All 101 General Practice Dentistry providers in Southfield · All 8,937 providers in Southfield
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