1. Home
  2. Directory
  3. Oklahoma
  4. Broken Arrow
  5. Dentist
  6. NPI Profile

RANDY FAGAN DDS, PC
NPI 1083888036
Dentist in Broken Arrow, OK

Active since April 21, 2008
2221 W WASHINGTON ST, BROKEN ARROW, OK 74012(918) 455-6406(918) 455-1856 Get Directions Write a Review

NPPES record last updated: April 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy Fagan Dds, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDY FAGAN DDS, PC (NPI 1083888036) is a healthcare organization registered as a dentist in Broken Arrow, Oklahoma and active in the NPI registry since April 2008. The organization lists Randy James Fagan, President, as its authorized official.

NPPES Registry Identity

NPI1083888036
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameRANDY FAGAN DDS, PC
Location Address2221 W WASHINGTON STBroken Arrow, OK 74012-6726
Mailing Address2221 W Washington StBroken Arrow, OK 74012-6726 · (918) 455-6406 · Fax (918) 455-1856
Phone(918) 455-6406
Fax(918) 455-1856
Organization SubpartNo
Authorized OfficialRandy James FaganPresident · (918) 455-6406
Enumeration DateApril 21, 2008
✔ NPI 1083888036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 5318
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2221 W WASHINGTON ST, Broken Arrow, OK 74012
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDY J FAGAN DDS
Dentist
2221 W WASHINGTON ST
BROKEN ARROW, OK 74012
Tulsa County (918) 455-6406
PARADIGM DENTAL SOLUTIONS, INC.
Dentist
2221 W WASHINGTON ST
BROKEN ARROW, OK 74012
Tulsa County (918) 893-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Fagan Dds, PC's NPI number?

The NPI number for Randy Fagan Dds, PC is 1083888036. It was assigned to this organization in the NPPES registry on April 21, 2008.

Where is Randy Fagan Dds, PC located?

Randy Fagan Dds, PC is located at 2221 W Washington St, Broken Arrow, OK 74012. The listed phone number is (918) 455-6406.

What is Randy Fagan Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Randy Fagan Dds, PC was last updated on April 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.