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

DR. TIM R FAGAN, DDS, MS

Active

DR. TIM R FAGAN, DDS, MS is a Pediatric Dentistry healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1477557452 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · OKLAHOMA CITY, OK

Registration Details

NPI Number
1477557452
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2005 (21.141400299785 yrs)
Last Updated
Jul 24, 2019
License
4227 (OK)

Practice Information

Address
1201 N STONEWALL AVE
OKLAHOMA CITY, OK, 731171214
Browse OK providers · Browse ZIP 73117
Phone
4052715444
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in OKLAHOMA CITY, OK

Name Credential NPI
DR. BRENT WARREN MOODY D.D.S. 1164410551
MR. WILLIAM G BOZALIS DDS MS PC 1720063225
DR. ANDREW CLEVELAND GUTHRIE D.D.S. 1780618330
MS. THAI-AN DOAN DDS, PC 1194828558
KEVIN L. HANEY D.D.S., M.S. 1275608325
DR. DAVID ALAN CIESLA DDS, MS 1174665111
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.