Allison Lane Fagan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10527 Issued in SC

Practice address

2104 Old Spartanburg Rd
Greer, SC 29650-2763

Phone

(864) 268-7812

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CDP of Greer, LLC

  • General Practice Dentistry
  • Greer, SC
  • NPI 1548984776
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1902590268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHEROKEE RD",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686500",
            "telephone_number": "229-529-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 OLD SPARTANBURG RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502763",
            "telephone_number": "864-268-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Sheringham Dr",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296422615",
            "country_code": "US",
            "telephone_number": "864-269-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "ALLISON",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everett Chiropractic Life Center
• Carla Lee Everett Gollwitzer, D.C.
• Evolving Minds Therapy, LLC
• Exceed Health LLC
• Eye Associates of Carolina, PA
• Deborah R Fahr, PHD
• Family Dental Health Group LLC
• Family Dental Health Group LLC (Family Dental Health of the Parkway)
• Family Dental Health of Greer, LLC
• Family Dental Health of Mountain View, LLC

• General Practice Dentistry in Greer, SC
• Providers in Greer, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.