Individual provider · Type 1 NPI

Tim R. Fagan, DDS, MS

Pediatric Dentistry · Oklahoma City, OK

NPI number 1477557452 Active

Practice location

1201 N Stonewall Ave
Oklahoma City, OK 73117-1214

Call (405) 271-5444 Map

Mailing address

423 N Van Buren St
Enid, OK 73703-4454

Other practice locations

  • 423 N Van Buren St, Enid, OK 73703-4454 · (580) 233-0043

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4227 (OK)

Pediatric Dentistry: 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.

154 other providers at this address

Other pediatric dentistry providers in Oklahoma City

See all in Oklahoma City →

About NPI 1477557452

Tim R. Fagan, DDS, MS's National Provider Identifier is 1477557452, issued on Jun 8, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 24, 2019.