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

Dr. Randy J Fagan, DDS

Individual provider Dentist · NPI 1487628731

Dr. Randy J Fagan, DDS is a Dentist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
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

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 number1487628731
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJuly 13, 2026

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