Timothy B Fagan Dmd Pc in Moultrie - Dentist
Timothy B Fagan Dmd Pc - NPI 1982717369
Timothy B Fagan Dmd Pc is a Dentist in Moultrie, Georgia. Timothy B Fagan Dmd Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Timothy B Fagan Dmd Pc is 1982717369. The last update date is 2020-08-22.
Timothy B Fagan Dmd Pc's current location address is Po Box 160, Moultrie, Georgia. You can contact this provider via phone number 2299854674 and fax number 2299850900. The mailing address for Timothy B Fagan Dmd Pc is Po Box 160, Moultrie, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Timothy B Fagan Dmd Pc |
|---|---|
| Address | Po Box 160, Moultrie, Georgia |
| Phone Number | 2299854674 |
| Fax Number | 2299850900 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fagan B Timothy |
| Credentials | DMD |
| Telephone Number | 2299854674 |
NPI Number Detail
| NPI Number | 1982717369 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 160 |
|---|---|
| City | Moultrie |
| State | Georgia (GA) |
| Post Code | 31776 |
| Phone Number | 2299854674 |
| Fax Number | 2299850900 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN011154 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Timothy B Fagan Dmd Pc by the Centers for Medicare & Medicaid Services?
The Timothy B Fagan Dmd Pc has been issued the NPI (National Provider Identifier) 1982717369 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Timothy B Fagan Dmd Pc is geographically located?
The Timothy B Fagan Dmd Pc is physically situated at the following location: Po Box 160, Moultrie, GA, 31776.
What is Timothy B Fagan Dmd Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy B Fagan Dmd Pc is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did Timothy B Fagan Dmd Pc receive its 1982717369 assignment from the Centers for Medicare & Medicaid Services?
The Timothy B Fagan Dmd Pc was assigned its 1982717369 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Timothy B Fagan Dmd Pc most recently updated or refreshed?
The details pertaining to the Timothy B Fagan Dmd Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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