Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randy Fagan DDS, PC

Organization Dentist · NPI 1083888036

Randy Fagan DDS, PC is a Dentist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2221 W Washington St
Broken Arrow, OK 74012-6726
Phone: (918) 455-6406
Fax: (918) 455-1856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5318 (OK)

Record details

NPI number1083888036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Fagan — President · (918) 455-6406
NPI enumeratedApril 21, 2008
Last updated in NPPESApril 21, 2008
Mailing address2221 W Washington St, Broken Arrow, OK 74012-6726

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