Dr Brian Fangman, DDS | |
1440 Blake St Ste 100, Denver, CO 80202-1475 | |
(614) 354-7468 | |
Not Available |
Full Name | Dr Brian Fangman |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1440 Blake St Ste 100, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609027556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30023643 (Ohio) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 202239 (Colorado) | Primary |
Entity Name | Trauma And Emergency Subspecialty Surgeons Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740543933 PECOS PAC ID: 1951559293 Enrollment ID: O20120912000182 |
Mailing Address | Practice Location Address |
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Dr Brian Fangman, DDS 1440 Blake St Ste 100, Denver, CO 80202-1475 Ph: () - | Dr Brian Fangman, DDS 1440 Blake St Ste 100, Denver, CO 80202-1475 Ph: (614) 354-7468 |
Dr. Frank A Perlov, D.D.S.,M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 240 Saint Paul St, #201, Denver, CO 80206 Phone: 303-320-0307 Fax: 303-320-0791 | |
Dr. Allison Michele Cohen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 162 Adams St Ste 200, Denver, CO 80206 Phone: 303-333-4209 | |
Dr. Michael Woodbeck, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1707 Chestnut Pl Apt 621, Denver, CO 80202 Phone: 979-900-4987 | |
Gregory Bennett Grossman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2130 Stout St, Denver, CO 80205 Phone: 303-293-2220 | |
Frederick S Morrill, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
Julie A Lesnick, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
Dr. Kevin Shawn Berry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St #1008, 1008, Denver, CO 80222 Phone: 303-691-0267 Fax: 303-691-0268 |