DR. Mark Charles Fagan, D.D.S. is a periodontics dentist in San Jose, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Mark Charles Fagan, D.D.S. NPI is 1376562827. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1660 WILLOW ST STE #3 SAN JOSE, CA ZIP 95125-101 Phone: (408) 269-1060
The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/8/2007.
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:
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: 3/30/2025
NPI Synchronization or Removal
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