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CHRISTY JO FOGARTY RDH, ADT
NPI 1649550260
Dental Therapist in Minneapolis, MN

Active since August 26, 2011
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413(612) 746-1530(612) 746-1531 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christy Jo Fogarty Rdh, Adt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTY JO FOGARTY RDH, ADT (NPI 1649550260) is an individual dental therapist in Minneapolis, Minnesota, licensed in Minnesota (DT02) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1649550260
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NameCHRISTY JO FOGARTYCredential: RDH, ADT
Location Address636 BROADWAY ST NEMinneapolis, MN 55413-2164
Mailing Address636 Broadway St NeMinneapolis, MN 55413-2164 · (612) 746-1530 · Fax (612) 746-1531
Phone(612) 746-1530
Fax(612) 746-1531
Sole ProprietorNo
Enumeration DateAugust 26, 2011
Last NPPES UpdateNovember 14, 2017
✔ NPI 1649550260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in MN · DT02
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Also ListedDental HygienistTaxonomy 124Q00000X · License H5961 (MN)
636 BROADWAY ST NE, Minneapolis, MN 55413
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER GLOCKLE R.D.H.
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
SONDRA NICKOLSON R.D.H., M.E.D.
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
NICOLE MATHEW DT
Dental Therapist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
MRS. TERESA BUSHNELL
Dental Therapist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
TRINA COURTRIGHT D.T.
Dental Therapist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
BECKY LOMMEN
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
JODI BECKER
Dental Therapist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
MELISSA JO CASPER
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christy Fogarty's NPI number?

The NPI number for Christy Fogarty is 1649550260. It was assigned to this individual provider in the NPPES registry on August 26, 2011.

Where is Christy Fogarty located?

Christy Fogarty practices at 636 Broadway St NE, Minneapolis, MN 55413. The listed phone number is (612) 746-1530.

What is Christy Fogarty's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Christy Fogarty was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.