Richard Agnew Fagin
Oral & Maxillofacial Surgeon
235 N San Mateo Dr Suite 600
San Mateo
, California 94401
Richard Agnew Fagin
Oral & Maxillofacial Surgeon
235 N San Mateo Dr Suite 600
San Mateo
, California 94401
(650) 342-0636
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Richard Agnew Fagin
- 235 N San Mateo Dr Suite 600
- San Mateo, CA
- Zip : 94401
- Fax : (650) 342-0636
- Phone : (650) 342-0213
Second Address
- Richard Agnew Fagin
- 235 N San Mateo Dr Suite 600
- San Mateo, CA
- Zip : 94401
- Fax : (650) 342-0636
- Phone : (650) 342-0213
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | D20691 | CA |
National Provider Identifier
| NPI | 1538234695 |
|---|---|
| Provider Name | Richard Agnew Fagin |
| First Address | San Mateo, CA 94401 |
| Second Address | San Mateo, CA 94401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.