IndividualActive
Michael Fahey, DDS
NPI 1619076783 · General Practice Dentistry · Winnie, TX
Provider details
- NPI number
- 1619076783
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 11246 (TX)
Specialties & taxonomies
Dental Providers
Practice location
502 3rd Street
Winnie, TX 77665
Phone: (409) 296-4149
Fax: (409) 296-4711
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 747
Winnie, TX 77665
Registry dates
- Enumerated
- 2006-09-22
- 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.