Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDY J FAGAN, DDS
ActiveDR. RANDY J FAGAN, DDS is a Dentist healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1487628731 is currently active in the NPPES registry. Verify at CMS.
Dentist · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1487628731
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2006 (20.468829983233 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5318 (OK)
Practice Information
- Address
-
2221 W WASHINGTON STBROKEN ARROW, OK, 740126726Browse OK providers · Browse ZIP 74012
- Phone
- 9184556406
- Fax
- 9184551856
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN W HOGG | D.D.S. | 1124020326 |
| TODD A GENTLING | D.D.S. | 1245254390 |
| DR. VALERIE VAN HOLLEMAN | DDS | 1811086846 |
| STEVEN LEE GROGAN | D.D.S. | 1033299201 |
| DR. TERRY ROBERT ROOT | D.D.S. | 1831418201 |
| DR. TAYLOR J SPRAGUE | DDS | 1275894941 |
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.