Individual provider · Type 1 NPI
Adam Peter Fagin, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · San Mateo, CA
NPI number
1740695527
Active
Practice location
235 N San Mateo Dr Ste 600
San Mateo, CA 94401-2675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2020-00843 (NC) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 103519 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in San Mateo
About NPI 1740695527
Adam Peter Fagin, DMD, MD's National Provider Identifier is 1740695527, issued on Jun 30, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Mateo, CA. The record was last updated on Jan 20, 2022.