DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDY FAGAN DDS, PC

Active Organization

RANDY FAGAN DDS, PC is a Dentist organization located in BROKEN ARROW, Oklahoma. NPI 1083888036 is currently active in the NPPES registry. Verify at CMS.

Dentist · BROKEN ARROW, OK

Registration Details

NPI Number
1083888036
Provider Type
Organization
NPI Issued
Apr 21, 2008 (18.337318257625 yrs)
Last Updated
Apr 21, 2008
License
5318 (OK)

Practice Information

Address
2221 W WASHINGTON ST
BROKEN ARROW, OK, 740126726
Browse OK providers · Browse ZIP 74012
Phone
9184556406
Fax
9184551856
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.