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 1440 Blake St Ste 100 , Denver CO 80202-1475. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as 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
1440 Blake St Ste 100 Denver CO 80202-1475
Fax: (720) 328-4994
Website:
Authorized official contact:
Name: Fangman, Brian John Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1275120495
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 22nd, 2020
Last updated Dec 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275120495 NPPES
Colorado MEDICAID 1952791964
Colorado Other 1013358985
Colorado Other 1609027556

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