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Search › New York › 1223P0700X

Mark Fagan, DDS

NPI 1588612790 · on the registry since 2006

Practice

Address
10205 N Riva Ridge Loop
Fort Drum, NY 13602
Phone
(315) 772-5088
Organisation at this address
Guthrie Ahc
Guthrie Ahc
Guthrie Ahc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223P0700X
1223P0700X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-27

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 New York