FAGIN DENTAL CORPORATION (NPI# 1407489610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407489610 |
| Entity Type | Organization |
| Organization Name | FAGIN DENTAL CORPORATION |
| Practice Address |
7055 N Fresno St Ste 203a Fresno CA 93720-2957 |
| Mailing Address |
11925 N Ridgeway Dr Fresno CA 93730-7075 |
| Practice Telephone | 5594350966 |
| Practice Fax Number | 5594355851 |
| Mailing Telephone | 9495544434 |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2020-02-16 |
| Authorized Official Name | DR. MARK FAGIN-HUTCHINGS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9495544434 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Fagin Orthodontics | Doing Business As Name - Organization |
| Street Address |
7055 N FRESNO ST STE 203A |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063942902 | Ryann Christensen | Dentist | 6623 N Riverside Dr Ste 101, Fresno, CA 93722-9325 | 2017-06-14 |
| 1992157572 | Tae Kwon | Dentist | 1161 E Shepherd Ave Apt 201, Fresno, CA 93720-2046 | 2016-07-07 |
| 1598143208 | Victoria Geren | Dentist | 323 E Bullard Ave Ste 104, Fresno, CA 93710-8620 | 2015-05-13 |
| 1871930545 | Brian Thurman | Dentist | 10221 N Page Ave, Fresno, CA 93730-4507 | 2013-06-04 |
| 1194015594 | Jeffrey Vance Stanley | Dentist | 6465 N Palm Ave Ste 105, Fresno, CA 93704-1085 | 2011-04-19 |
| 1396997979 | Havens Orthodontics, Inc. | Dentist | 7429 N 1st St Ste 101, Fresno, CA 93720-2852 | 2008-10-15 |
| 1194911974 | Charles L Quinlan Dds Inc | Dentist | 7055 N. Fresno Street, #203, Fresno, CA 93720 | 2007-09-14 |
| 1205042116 | Nicole Elise Nalchajian | Dentist | 7501 N Fresno St, Suite 105, Fresno, CA 93720-2458 | 2007-05-15 |
| 1861606147 | William J. Asbury | Dentist | 5479 N Fresno St Ste 102, Fresno, CA 93710-8328 | 2007-05-09 |
| 1205057056 | Pasqualino Diciccio | Dentist | 7104 N. Fresno Street, Suite 102, Fresno, CA 93720 | 2007-05-01 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.