Michael B. Fagan, DDS

General Practice Dentistry · Chicago Heights, IL

Individual Active NPI

NPI number 1396817045

Practice location

171 W 10TH St
Chicago Heights, IL 60411-2072
Phone
(708) 755-0433

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NPI record

NPI
1396817045
Entity type
Individual (Type 1)
Enumeration date
November 15, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X IL-1916337 IL

About Dr. Fagan

Michael B. Fagan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 171 W 10TH St, Chicago Heights, IL 60411-2072. The NPI number 1396817045 was assigned on November 15, 2006 and the record was last updated on July 8, 2007.

Dr. Fagan lists a license in the registry: #IL-1916337 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael B. Fagan, DDS?

The NPI number is 1396817045.

What is the phone number of Dr. Fagan?

The phone number listed for the practice location is (708) 755-0433.

Where is Dr. Fagan located?

171 W 10TH St, Chicago Heights, IL 60411-2072.

What is the taxonomy code for Dr. Fagan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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