IndividualActive
Michael Fagan, DDS
NPI 1396817045 · General Practice Dentistry · Chicago Heights, IL
Michael Fagan, DDS is a General Practice Dentistry provider in Chicago Heights, IL (NPI 1396817045).
Provider details
- NPI number
- 1396817045
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- IL-1916337 (IL)
Practice location
171 W 10th St
Chicago Heights, IL 60411-2072
Phone: (708) 755-0433
Street-level locationGet directions
Mailing address
171 W 10th St
Chicago Heights, IL 60411-2072
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.