Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Timothy B Fagan DMD PC

Organization Dentist · NPI 1982717369

Timothy B Fagan DMD PC provides Dentist services in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7 Longleaf Ofc Park
Moultrie, GA 31768
Phone: (229) 985-4674
Fax: (229) 985-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN011154 (GA)

Record details

NPI number1982717369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Fagan — President · (229) 985-4674
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 160, Moultrie, GA 31776

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