Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK CHARLES FAGAN, D.D.S.
ActiveDR. MARK CHARLES FAGAN, D.D.S. is a Periodontology healthcare provider located in SAN JOSE, California. NPI 1376562827 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SAN JOSE, CA
Registration Details
- NPI Number
- 1376562827
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2006 (20.045850827319 yrs)
- Last Updated
- Jul 8, 2007
- License
-
38419 (CA)
Practice Information
- Address
-
1660 WILLOW STSTE #3SAN JOSE, CA, 951255101Browse CA providers · Browse ZIP 95125
- Phone
- 4082691060
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. TRAM QUYNH HOANG | D.D.S., M.S. | 1295736858 |
| DENNIS WADE CALVERT | D.D.S. | 1508963554 |
| NILOOFAR ZARKESH | DDS, MS | 1700976149 |
| CHRISTINE M. HAYASHI | DDS,MS | 1275680530 |
| DR. SIAMAK MADANI | D.M.D. | 1861538118 |
| DR. NORMAN DARTT FULLER III | D.D.S. | 1154549988 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.