Individual provider · Type 1 NPI

Harold Harvey Fagan, DDS

Periodontics · Alexandria, VA

NPI number 1174660856 Active

Practice location

4660 Kenmore Ave, Suite 300
Alexandria, VA 22304-1313

Fax (703) 842-8671

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X0401004958 (VA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1174660856

Harold Harvey Fagan, DDS's National Provider Identifier is 1174660856, issued on Jan 31, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Alexandria, VA. The record was last updated on Aug 4, 2008.