Timothy B Fagan Dmd PC

NPI #1982717369 in Moultrie, Georgia

Provider Information

NPI Number: 1982717369
Entity Type: Organization
Organization Name: Timothy B Fagan Dmd PC
Primary Specialty: Dentist
Enumeration Date: Aug 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7 LONGLEAF OFFICE PARK
City: Moultrie
State: Georgia
ZIP Code: 31768
Phone: (229) 985-4674

Authorized Official

Name: DR. TIMOTHY B FAGAN, DMD
Title: PRESIDENT
Phone: (229) 985-4674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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