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

Q: 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.

Q: What is Christy Fogarty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Christy Fogarty was last updated on November 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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

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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.

AZAR HEMMATY D.D.S.

Dentist