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

Timothy B Fagan DMD PC

Organization Dentist · NPI 1982717369

Timothy B Fagan DMD PC is a Dentist in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

7 Longleaf Ofc Park
Moultrie, GA 31768
Phone: (229) 985-4674
Fax: (229) 985-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN011154 (GA)

Record details

NPI number1982717369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Fagan — President · (229) 985-4674
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 160, Moultrie, GA 31776

Other providers in Moultrie