Doctor profile · Federal record
Dr. Timothy Fagan, DMD
General Practice Dentistry · Moultrie, GA
- NPI 1871754614
- 18 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
7 Long Leaf Office Park
Moultrie, GA 317686781
(229) 985-4674 - Mailing address
-
Po Box 160
Moultrie, GA 317760160
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Georgia #DN011154
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1871754614. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$346
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products Inc | 3 | $288.47 | |
| ZIMVIE INC. | 2 | $57.83 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
52
Patients
39
Total drug cost
$364
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Penicillin V Potassium | Generic | 41 | 39 | $337 |
| Amoxicillin | Generic | 11 | 0 | $28 |
Frequently asked questions
What is Dr. Timothy Fagan's medical specialty?
Dr. Timothy Fagan practices General Practice Dentistry in Moultrie, GA.
Where does Dr. Timothy Fagan practice?
Dr. Timothy Fagan practices at 7 Long Leaf Office Park, Moultrie, GA 317686781. Office phone: 2299854674.
What is Dr. Timothy Fagan's NPI?
Dr. Timothy Fagan's National Provider Identifier (NPI) is 1871754614, issued by NPPES.