Fagan, Tim R
Fagan, Tim R is an individual health care provider with primary practice located at 1201 N Stonewall Ave , Oklahoma City OK 73117-1214. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Fagan, Tim R can be contacted via phone (405) 271-5444.Contact Information
Primary practice address
1201 N Stonewall Ave
Oklahoma City OK 73117-1214
Phone: (405) 271-5444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4227 | Oklahoma |
Profile Details
| NPI number | 1477557452 |
|---|---|
| LBN Legal business name | Fagan, Tim R |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jul 24th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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