FOGG/ZAREIE ENTERPRISES INC. NPI 1114198108

NPI Information

FOGG/ZAREIE ENTERPRISES INC. is a general practice dentist in Athens, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FOGG/ZAREIE ENTERPRISES INC. NPI is 1114198108. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Athens Family Dental Center.

The provider's business location address is:

3380 OLD JEFFERSON RD
ATHENS, GA
ZIP 30607-480
Phone: (706) 548-3279
Fax: (706) 546-6475

The provider's authorized official is Robert Samuel Fogg .
The authorized official title is Business Manager and has the following contact phone number (706) 548-3279.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 3/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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