DR. Tim R Fagan, DDS, MS
NPI #1477557452 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1477557452
- Entity Type
- Individual
- Name
- DR. Tim R Fagan, DDS, MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS, MS
- Enumeration Date
- Jun 8, 2005
- Last Updated
- Jul 24, 2019
Practice Location
- Address
- 1201 N STONEWALL AVE
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73117-1214
- Phone
- (405) 271-5444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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