National Provider Identifier Database

FANGMAN IVEY ORAL AND FACIAL SURGERY PLLC
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 & IVEY ORAL AND FACIAL SURGERY PLLC
5600 W 44TH AVE STE 100
DENVER, CO80212-7339
Phone: 720-328-4990
Fax: 720-328-4994
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 1223S0112X
Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for FANGMAN & IVEY ORAL AND FACIAL SURGERY PLLC

NPI Number 1023604535
Legal business name
LBN
FANGMAN & IVEY ORAL AND FACIAL SURGERY PLLC
Authorized official BRIAN FANGMAN - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 12/18/2020
Last updated 12/18/2020 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 1952791964
  • NY Other: 1609027556 INDIVIDUAL NPI
  • TX Other: 1013358985 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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