Fangman & Ivey Oral And Facial Surgery Pllc
LBN: Fangman & Ivey Oral And Facial Surgery Pllc
Fangman & Ivey Oral And Facial Surgery Pllc is an health care organization with primary practice located at 5600 W 44Th Ave Ste 100 , Denver CO 80212-7339. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Fangman & Ivey Oral And Facial Surgery Pllc can be contacted via phone (720) 328-4990, or through Fangman, Brian John via phone (720) 328-4990.
Contact Information
Primary practice address
5600 W 44Th Ave Ste 100
Denver CO 80212-7339
Phone: (720) 328-4990
Fax: (720) 328-4994
Website:
Authorized official contact:
Name: Fangman, Brian John Doctor of Dental Surgery (DDS)
Phone: (720) 328-4990
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X |
Profile Details
| NPI number | 1023604535 |
|---|---|
| LBN Legal business name | Fangman & Ivey Oral And Facial Surgery Pllc |
| DBA Doing business as | |
| Authorized official | Fangman, Brian John Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2020 |
| Last updated | Dec 18th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023604535 | NPPES |
| Texas | Other | 1013358985 | INDIVIDUAL NPI |
| Texas | Other | 1609027556 | INDIVIDUAL NPI |
| Texas | MEDICAID | 1952791964 | INDIVIDUAL NPI |
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