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FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC NPI 1093469447


NPI Information

NPI: 1093469447
Provider Name: FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC

Doing Business As: ALTITUDE ORAL AND FACIAL SURGERY PLLC

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5600 W 44TH AVE UNIT 100
DENVER, CO
ZIP 80212
Phone: (720) 328-4990
Get Directions

FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC is an oral and maxillofacial surgery clinic center in Denver, CO. The provider is an oral and maxillofacial surgery clinic or center specialized in 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. FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC NPI is 1093469447. The provider is registered as an organization entity type.
The provider Is Doing Business As Altitude Oral And Facial Surgery Pllc.

The provider's business location address is:

5600 W 44TH AVE UNIT 100
DENVER, CO
ZIP 80212-339
Phone: (720) 328-4990
Fax: (720) 328-4994

The provider's authorized official is Brian Fangman .
The authorized official title is Owner/oral Surgeon and has the following contact phone number (720) 328-4990.

The enumeration date for this NPI number is 2/4/2022 and was last updated on 2/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11952791964MEDICAIDCOLORADO
21609027556OTHERNEW YORKINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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