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

Dr. Tim R Fagan, DDS, MS

Individual provider Pediatric Dentistry · NPI 1477557452

Dr. Tim R Fagan, DDS, MS is a Pediatric Dentistry in Oklahoma City, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2005
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1201 N Stonewall Ave
Oklahoma City, OK 73117-1214
Phone: (405) 271-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 423 N Van Buren St, Enid, OK 73703-4454 — (580) 233-0043

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 4227 (OK)

Record details

NPI number1477557452
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedJune 8, 2005
Last updated in NPPESJuly 24, 2019

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