Fangman Oral And Facial Surgery Professional Llc
LBN: Fangman Oral And Facial Surgery Professional Llc
Fangman Oral And Facial Surgery Professional Llc is an health care organization with primary practice located at 10375 Park Meadows Dr Ste 150 , Lone Tree CO 80124-6755. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Fangman Oral And Facial Surgery Professional Llc can be contacted via phone (720) 328-4990, or through Fangman, Brian J via phone (614) 354-7468.
Contact Information
Primary practice address
10375 Park Meadows Dr Ste 150
Lone Tree CO 80124-6755
Phone: (720) 328-4990
Fax: (720) 328-4994
Website:
Authorized official contact:
Name: Fangman, Brian J Doctor of Dental Surgery (DDS)
Phone: (614) 354-7468
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X |
Profile Details
| NPI number | 1518612266 |
|---|---|
| LBN Legal business name | Fangman Oral And Facial Surgery Professional Llc |
| DBA Doing business as | |
| Authorized official | Fangman, Brian J Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2022 |
| Last updated | Feb 21st, 2022 - about 2 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 | 1518612266 | NPPES |
| New York | Other | 1609027556 | INDIVIDUAL NPI |
| New York | MEDICAID | 82781257 | INDIVIDUAL NPI |
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