Individual
DR. JAMES STEVEN FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1644 RT 611 FOUNTAIN SPRINGS WEST, SUITE 3, TANNERSVILLE, PA 18444
(570) 620-1840
(570) 620-1850
Mailing address
PO BOX 700 3, 1644 RT 611 FOUNTAIN SPRINGS WEST RR1 SUITE 3, TANNERSVILLE, PA 18444
(570) 620-1840
(570) 620-1650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024640L
PA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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