DR. Mark Charles Fagan, D.D.S. is a periodontics dentist in San Jose, CA. The provider is 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. DR. Mark Charles Fagan, D.D.S. NPI is 1376562827. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1660 WILLOW ST
STE #3
SAN JOSE, CA
ZIP 95125-101
Phone: (408) 269-1060
The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/8/2007.