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

Dr. Mark Charles Fagan, DDS

Individual provider Periodontics · NPI 1376562827

Dr. Mark Charles Fagan, DDS is a Periodontics in San Jose, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

1660 Willow St Ste #3
San Jose, CA 95125-5101
Phone: (408) 269-1060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 38419 (CA)

Record details

NPI number1376562827
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJuly 8, 2007

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