Timothy B. Fagan in Moultrie - General Practice
Timothy B. Fagan - NPI 1871754614
Timothy B. Fagan is a General Practice in Moultrie, Georgia. Timothy B. Fagan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy B. Fagan is 1871754614. The last update date is 2008-06-24.
Timothy B. Fagan's current location address is Po Box 160, Moultrie, Georgia. You can contact this provider via phone number 2299854674. The mailing address for Timothy B. Fagan is Po Box 160, Moultrie, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy B. Fagan |
|---|---|
| Address | Po Box 160, Moultrie, Georgia |
| Phone Number | 2299854674 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1871754614 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | Po Box 160 |
|---|---|
| City | Moultrie |
| State | Georgia (GA) |
| Post Code | 317760160 |
| Phone Number | 2299854674 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN011154 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Timothy B. Fagan by the Centers for Medicare & Medicaid Services?
The Timothy B. Fagan has been issued the NPI (National Provider Identifier) 1871754614 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Timothy B. Fagan located?
The Timothy B. Fagan is located at Po Box 160, Moultrie, GA 317760160.
What is the area of specialization for Timothy B. Fagan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy B. Fagan is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date was the 1871754614 assigned to Timothy B. Fagan?
The Timothy B. Fagan was issued its 1871754614 on 2008-06-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Timothy B. Fagan's details last updated?
The information pertaining to the Timothy B. Fagan, including its address, specialty, and other details, was most recently updated on 2008-06-24.