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

Dr. Timothy B. Fagan, DMD

Individual provider General Practice Dentistry · NPI 1871754614

Dr. Timothy B. Fagan, DMD is a General Practice Dentistry in Moultrie, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

7 Long Leaf Ofc Park
Moultrie, GA 31768-6781
Phone: (229) 985-4674
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN011154 (GA)

Record details

NPI number1871754614
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 24, 2008
Last updated in NPPESJune 24, 2008

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