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

Dr. Mark W Fagan, DDS

Individual provider Prosthodontics · NPI 1588612790

Dr. Mark W Fagan, DDS is a Prosthodontics in Fort Drum, New York. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
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.

See every abbreviation used in this directory →

Practice location Address checks out

10205 N Riva Ridge Loop
Fort Drum, NY 13602-5457
Phone: (315) 772-5088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 11964 (MD)

Record details

NPI number1588612790
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026