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Dr. Tim R Fagan, DDS,MS
Pediatric Dentist in Oklahoma City, Oklahoma
NPI 1477557452

Tim R Fagan is a Pediatric Dentist based in Enid, OK and is specialized in Pediatric Dentistry. Tim R Fagan practices in Oklahoma City, OK and has the professional credentials of DDS,MS. The NPI Number for Tim R Fagan is 1477557452 and holds a License No. 4227 (Oklahoma).

The current practice location address for Tim R Fagan is 1201 N Stonewall Ave, Oklahoma City, OK and can be reached out via phone at 405-271-5444.

Location: 1201 N Stonewall Ave, Oklahoma City, OK, 73703-4454
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Provider Profile Details
NPI Number
1477557452
Provider Name
Tim R Fagan
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
1201 N Stonewall Ave, Oklahoma City, OK, 73703-4454
Phone Number
405-271-5444
Fax Number
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1201 N Stonewall Ave
City
State
Zip
73117-1214
Phone Number
405-271-5444
Fax Number
person
Provider Business Mailing Address Details
Address
1201 N Stonewall Ave
City
State
Zip
73117-1214
Phone Number
405-271-5444
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4227 (Oklahoma)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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