Fagan, Timothy B.
Fagan, Timothy B. is an sole proprietor health care provider with primary practice located at 7 Long Leaf Office Park , Moultrie GA 31768-6781. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fagan, Timothy B. can be contacted via phone (229) 985-4674.Contact Information
Primary practice address
7 Long Leaf Office Park
Moultrie GA 31768-6781
Phone: (229) 985-4674
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN011154 | Georgia |
Profile Details
| NPI number | 1871754614 |
|---|---|
| LBN Legal business name | Fagan, Timothy B. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2008 |
| Last updated | Jun 24th, 2008 - about 18 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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