Brea Fagan, D.D.S

Dentist · Laurel, MD

Individual Active NPI

NPI number 1033804075

Practice location

8730 Cherry Ln
Laurel, MD 20707-6212
Phone
(410) 251-4932

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NPI record

NPI
1033804075
Entity type
Individual (Type 1)
Enumeration date
April 6, 2023
Last updated
August 7, 2024
Certified
August 7, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 18058 MD

Mailing address

6006 Grenfell Loop
Bowie, MD 20720-5343
Phone
(410) 251-4932

About Dr. Fagan

Brea Fagan, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 8730 Cherry Ln, Laurel, MD 20707-6212. The NPI number 1033804075 was assigned on April 6, 2023 and the record was last updated on August 7, 2024.

Dr. Fagan lists a license in the registry: #18058 (MD) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brea Fagan, D.D.S?

The NPI number is 1033804075.

What is the phone number of Dr. Fagan?

The phone number listed for the practice location is (410) 251-4932.

Where is Dr. Fagan located?

8730 Cherry Ln, Laurel, MD 20707-6212.

What is the taxonomy code for Dr. Fagan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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