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DR. MARK CHARLES FAGAN D.D.S.
NPI 1376562827
Dentist - Periodontics in San Jose, CA

Active since July 18, 2006
1660 WILLOW ST, STE #3, SAN JOSE, CA 95125(408) 269-1060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Charles Fagan D.d.s. NPPES

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

DR. MARK CHARLES FAGAN D.D.S. (NPI 1376562827) is an individual periodontics provider in San Jose, California, licensed in California (38419) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1376562827
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARK CHARLES FAGANCredential: D.D.S.
Location Address1660 WILLOW ST, STE #3San Jose, CA 95125-5101
Mailing Address1660 Willow St, Ste #3San Jose, CA 95125-5101 · (408) 269-1060
Phone(408) 269-1060
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376562827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 38419
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1660 WILLOW ST, San Jose, CA 95125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. KIRK KWAN YEN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1660 WILLOW ST, 5
SAN JOSE, CA 95125
Santa Clara County (408) 265-7530
STEVEN M TOSCHI DDS
Dentist (General Practice)
1660 WILLOW ST, SUITE I
SAN JOSE, CA 95125
Santa Clara County (408) 978-7991
DR. CHARLES RUDOLPH BOCKS III DDS
Dentist (General Practice)
1660 WILLOW ST, SUITE 7
SAN JOSE, CA 95125
Santa Clara County (408) 266-4571
DR. JOHN STEPHEN CUPPLES DDS
Dentist (General Practice)
1660 WILLOW ST, #6
SAN JOSE, CA 95125
Santa Clara County (408) 264-8515
KIRK YEN, DDS, INC.
Clinic/Center (Dental)
1660 WILLOW ST, SUITE 5
SAN JOSE, CA 95125
Santa Clara County (408) 265-7530
DR. MATTHEW MICHAEL MALVASE DMD
Dentist (General Practice)
1660 WILLOW ST
SAN JOSE, CA 95125
Santa Clara County (408) 816-1008
CHARLES R BOCKS III DDS INC
Dentist (General Practice)
1660 WILLOW ST, SUITE 7
SAN JOSE, CA 95125
Santa Clara County (408) 266-4571

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 Mark Fagan's NPI number?

The NPI number for Mark Fagan is 1376562827. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Mark Fagan located?

Mark Fagan practices at 1660 Willow St Ste #3, San Jose, CA 95125. The listed phone number is (408) 269-1060.

What is Mark Fagan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Mark Fagan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Fagan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.