Organization · Type 2 NPI

Fangman Oral and Facial Surgery Professional LLC

Oral and Maxillofacial Surgery (Dentist) · Denver, CO

NPI number 1952791964 Active

Practice location

1440 Blake St Ste 100
Denver, CO 80202-1475

Fax (720) 328-4994

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	202239 (CO)

Oral and Maxillofacial Surgery (Dentist): 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.

3 other providers at this address

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NPI record

NPI: 1952791964
Entity type: Organization (Type 2)
Issued: Jan 28, 2015
Last updated: Feb 8, 2022
Status: Active

Other names

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Altitude Oral Maxillofacial Implant Center · doing business as

Authorized official

Dr. Brian Fangman, DDS
Oral Maxillofacial Surgeon/owner
(720) 328-4990

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952791964

Fangman Oral and Facial Surgery Professional LLC's National Provider Identifier is 1952791964, issued on Jan 28, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Denver, CO. The record was last updated on Feb 8, 2022.