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RICHARD A FAGIN DDS A PROFESSIONAL CORPORATION NPI 1093474819


NPI Information

NPI: 1093474819
Provider Name: RICHARD A FAGIN DDS A PROFESSIONAL CORPORATION
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
235 N SAN MATEO DR STE 600
SAN MATEO, CA
ZIP 94401
Phone: (650) 342-0213
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RICHARD A FAGIN DDS A PROFESSIONAL CORPORATION is an oral maxillofacial surgery in San Mateo, CA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. RICHARD A FAGIN DDS A PROFESSIONAL CORPORATION NPI is 1093474819. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

235 N SAN MATEO DR STE 600
SAN MATEO, CA
ZIP 94401-675
Phone: (650) 342-0213
Fax: (650) 342-0636

The provider's authorized official is Adam Peter Fagin .
The authorized official title is Surgeon and has the following contact phone number (650) 823-9606.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 1/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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