Dr Randy J Fagan, DDS in Broken Arrow, OK - Dentist

Dr Randy J Fagan, DDS is a Dentist based in Broken Arrow, Oklahoma. Dr Randy J Fagan is licensed to practice in Oklahoma (license number 5318) and his current practice location is 2221 W Washington St, Broken Arrow, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (918) 455-6406.

NPI number for Dr Randy J Fagan is 1487628731 and his current mailing address is 2221 W Washington St, Broken Arrow, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487628731.

Contact Information

	Dr Randy J Fagan, DDS
	2221 W Washington St, Broken Arrow, OK 74012-6726
	(918) 455-6406
	(918) 455-1856

Healthcare Provider's Profile

Full Name	Dr Randy J Fagan
Gender	Male
Speciality	Dentist
Location	2221 W Washington St, Broken Arrow, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1487628731
Provider Enumeration Date: 02/14/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Randy J Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487628731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	5318 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randy J Fagan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Randy J Fagan, DDS 2221 W Washington St, Broken Arrow, OK 74012-6726 Ph: (918) 455-6406	Dr Randy J Fagan, DDS 2221 W Washington St, Broken Arrow, OK 74012-6726 Ph: (918) 455-6406

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Dentist in Broken Arrow, OK

Dr. Cody Hayes Mumma, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4716 W Urbana St, Broken Arrow, OK 74012 Phone: 918-449-5800 Fax: 918-455-8958
Steven Lee Grogan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1139 E Kenosha St, Broken Arrow, OK 74012 Phone: 918-259-0239
Dr. Evan Dale Clothier, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 N Aspen Ave, Broken Arrow, OK 74012 Phone: 918-251-3333
Dr. Patricia Deanne Cannon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 411 W New Orleans St, Broken Arrow, OK 74011 Phone: 918-455-4242 Fax: 918-455-4244
Dr. Angela J Rhodes, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2311 N 9th St Ste 102, Broken Arrow, OK 74012 Phone: 918-994-2100 Fax: 918-994-2101
Dr. Michael A. Kincaid, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1402 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-8515 Fax: 918-251-5463
Dr. Steven W Hogg, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 423 W Washington St, Broken Arrow, OK 74012 Phone: 918-455-8899

Dr Randy J Fagan, DDS - Dentist in Broken Arrow, OK