National Provider Identifier Database

FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
1555 MAIN ST UNIT A2
WINDSOR, CO80550-5999
Phone: 720-328-4990
Fax: 720-328-4994
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC

NPI Number 1750038089
Legal business name
LBN
FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
Authorized official BRIAN FANGMAN - (DDS)
Entity Organization
Organization subpart No
Enumeration date 03/07/2022
Last updated 04/11/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 82781257
  • NY Other: 1609027556 INDIVIDUAL NPI

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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