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

Dr. Derek Timothy Fagen, DDS

Individual provider Dentist · NPI 1184836991

Dr. Derek Timothy Fagen, DDS is a Dentist in San Antonio, Texas. Licensed in Iowa. Registered with an NPI since 2007.

Licensed in
IA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3038 William Hardee Rd
San Antonio, TX 78234-2532
Phone: (210) 427-6813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 08256 (IA)

Record details

NPI number1184836991
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

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