OrganizationActive
Timothy B Fagan DMD PC
NPI 1982717369 · Dentist · Moultrie, GA
Timothy B Fagan DMD PC is a Dentist organization in Moultrie, GA (NPI 1982717369).
Provider details
- NPI number
- 1982717369
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Fagan, President(229) 985-4674
- License
- DN011154 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
7 Longleaf Office Park
Moultrie, GA 31768
Phone: (229) 985-4674
Fax: (229) 985-0900
Street-level locationGet directions
Mailing address
Po Box 160
Moultrie, GA 31776
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Timothy B Fagan DMD PC's NPI number?
- Timothy B Fagan DMD PC's National Provider Identifier (NPI) is 1982717369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Timothy B Fagan DMD PC?
- Timothy B Fagan DMD PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Timothy B Fagan DMD PC located?
- Timothy B Fagan DMD PC's practice location on file with NPPES is 7 Longleaf Office Park, Moultrie, GA 31768.
- What is Timothy B Fagan DMD PC's phone number?
- The practice phone number listed in the NPPES registry for Timothy B Fagan DMD PC is (229) 985-4674.
- Who is the authorized official for Timothy B Fagan DMD PC?
- The authorized official listed on Timothy B Fagan DMD PC's NPPES record is Timothy Fagan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Timothy B Fagan DMD PC's NPI active?
- Yes — Timothy B Fagan DMD PC's NPI (1982717369) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.