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Tim Fagan, DDS, MS
NPI 1477557452 · on the registry since 2005
Practice
- Address
- 1201 N Stonewall Ave
Oklahoma City, OK 73117 - Phone
- (405) 271-5444
- Organisation at this address
- University Of Oklahoma
Ou College Of Dentistry
University Oral & Maxillofacial Surgeons
University Oral & Maxillo Facial Surgeons
Ou College Of Dentistry Predoctoral ProgramInferred from a shared address, not stated in the registry. - Clinicians at this address
- 182
Additional practice sites
- 423 N Van Buren St, Enid, OK
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma