| Randy Fagan Dds, Pc | |
|
2221 W Washington St Broken Arrow OK 74012-6726 | |
| (918) 455-6406 | |
| (918) 455-1856 |
| Full Name | Randy Fagan Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 2221 W Washington St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Randy James Fagan (PRESIDENT) |
| Authorized Official Contact | 9184556406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Fagan Dds, Pc 2221 W Washington St Broken Arrow OK 74012-6726 Ph: (918) 455-6406 | Randy Fagan Dds, Pc 2221 W Washington St Broken Arrow OK 74012-6726 Ph: (918) 455-6406 |
| NPI Number | 1083888036 |
|---|---|
| Provider Enumeration Date | 04/21/2008 |
| Last Update Date | 04/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083888036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5318 (Oklahoma) | Primary |
Medical Consultant Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3309 W Princeton St, Broken Arrow, OK 74012 Phone: 419-819-9498 | |
Kincaid Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-8515 | |
Emerson Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 W Mission St, Broken Arrow, OK 74012 Phone: 918-459-0092 Fax: 918-455-0270 | |
Family Dentistry Of Broken Arrow Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 S Elm Pl, Suite E, Broken Arrow, OK 74012 Phone: 918-455-3777 Fax: 918-451-6316 | |
Broken Arrow Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 W Houston St, Broken Arrow, OK 74012 Phone: 918-615-3600 Fax: 918-615-3601 | |
Spring Dental-broken Arrow Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6416 S Elm Pl, Broken Arrow, OK 74011 Phone: 918-895-6568 |