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Dr. Mark W Fagan, DDS
Prosthodontist in Fort Drum, New York
NPI 1588612790

Mark W Fagan is a Prosthodontist based in Sackets Harbor, NY and is specialized in Prosthodontics. Mark W Fagan practices in Fort Drum, NY and has the professional credentials of DDS. The NPI Number for Mark W Fagan is 1588612790 and holds a License No. 11964 (New York).

The current practice location address for Mark W Fagan is 10205 N Riva Ridge Loop, Fort Drum, NY and can be reached out via phone at 315-772-5088.

Location: 10205 N Riva Ridge Loop, Fort Drum, NY, 13685-9744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588612790
Provider Name
Mark W Fagan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10205 N Riva Ridge Loop, Fort Drum, NY, 13685-9744
Phone Number
315-772-5088
Fax Number
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10205 N Riva Ridge Loop
City
Fort Drum
State
New York
Zip
13602-5457
Phone Number
315-772-5088
Fax Number
person
Provider Business Mailing Address Details
Address
10205 N Riva Ridge Loop
City
Fort Drum
State
New York
Zip
13602-5457
Phone Number
315-772-5088
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
11964 (Maryland)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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