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Contact Information

NICHOLAS J. FANGMAN DDS
1406 N US HIGHWAY 71
CARROLL, IA51401
 Phone: 712-792-2630
 Fax: 712-792-5547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for NICHOLAS J FANGMAN DDS · (Female)

NPI Number 1922273705
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2008
Last updated 08/12/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA License # 07225
  • IA Medicaid 0042820
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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