IndividualActive
Christy Fogarty, RDH, ADT
NPI 1649550260 · Dental Therapist · Minneapolis, MN
Provider details
- NPI number
- 1649550260
- Entity type
- Individual
- Primary specialty
- Dental TherapistDental Providers
- Credential
- RDH, ADT
- Sex
- Female
- Sole proprietor
- No
- License
- H5961 (MN)
Practice location
636 Broadway St Ne
Minneapolis, MN 55413-2164
Phone: (612) 746-1530
Fax: (612) 746-1531
Mailing address
636 Broadway St Ne
Minneapolis, MN 55413-2164
Registry dates
- Enumerated
- 2011-08-26
- Last updated
- 2017-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.