OrganizationActive
Randy Fagan DDS, PC
NPI 1083888036 · Dentist · Broken Arrow, OK
Randy Fagan DDS, PC is a Dentist organization in Broken Arrow, OK (NPI 1083888036).
Provider details
- NPI number
- 1083888036
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Randy Fagan, President(918) 455-6406
- License
- 5318 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2221 W Washington St
Broken Arrow, OK 74012-6726
Phone: (918) 455-6406
Fax: (918) 455-1856
Street-level locationGet directions
Mailing address
2221 W Washington St
Broken Arrow, OK 74012-6726
Registry dates
- Enumerated
- 2008-04-21
- Last updated
- 2008-04-21
Frequently asked questions
- What is Randy Fagan DDS, PC's NPI number?
- Randy Fagan DDS, PC's National Provider Identifier (NPI) is 1083888036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randy Fagan DDS, PC?
- Randy Fagan DDS, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Randy Fagan DDS, PC located?
- Randy Fagan DDS, PC's practice location on file with NPPES is 2221 W Washington St, Broken Arrow, OK 74012-6726.
- What is Randy Fagan DDS, PC's phone number?
- The practice phone number listed in the NPPES registry for Randy Fagan DDS, PC is (918) 455-6406.
- Who is the authorized official for Randy Fagan DDS, PC?
- The authorized official listed on Randy Fagan DDS, PC's NPPES record is Randy Fagan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randy Fagan DDS, PC's NPI active?
- Yes — Randy Fagan DDS, PC's NPI (1083888036) is active in the NPPES registry as of the last update on 2008-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.