Dr. Mark W Fagan is a Fort Drum, New York based Prosthodontics who is specialized in
Prosthetic Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark W Fagan is
11964 for Prosthetic Dentistry in Maryland. His current practice location is
10205 N Riva Ridge Loop, Fort Drum. Patients can reach him at
315-772-5088.
Dr. Mark W Fagan specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Profile:
Dr. Mark W Fagan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Mark W Fagan |
| Specialization: | Prosthodontics |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 10205 N Riva Ridge Loop, Fort Drum,
New York, 13602-5457 |
| Phone: | 315-772-5088 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1588612790 |
| NPI Enumeration Date: | 04 May, 2006 |
| NPI Last Update On: | 30 Jun, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark W Fagan are as mentioned below.
| License Number | Specialization | State | Status | |
| 11964 | Prosthetic Dentistry | Maryland | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 120 Mill Creek Ln,
Sackets Harbor, New York |
| Zip: | 13685-9744 |
| Phone Number: | 915-841-8661 |
Patients can reach Dr. Mark W Fagan at
10205 N Riva Ridge Loop, Fort Drum, New York or can
call to book an appointment on 315-772-5088.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.