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NICHOLAS J. FANGMAN DDS NPI 1922273705


NPI Information

NPI: 1922273705
Provider Name: NICHOLAS J. FANGMAN DDS

Doing Business As: DR. NICHOLAS J. FANGMAN

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1406 N US HIGHWAY 71
CARROLL, IA
ZIP 51401
Phone: (712) 792-2630
Get Directions

NICHOLAS J. FANGMAN DDS is a general practice dentist in Carroll, IA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NICHOLAS J. FANGMAN DDS NPI is 1922273705. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Nicholas J. Fangman.

The provider's business location address is:

1406 N US HIGHWAY 71
CARROLL, IA
ZIP 51401
Phone: (712) 792-2630
Fax: (712) 792-5547

The provider's authorized official is Nicholas J Fangman .
The authorized official title is Owner and has the following contact phone number (712) 792-2630.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 8/12/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist07225IOWANo
2122300000XDentistNo
31223G0001XDentistGeneral PracticeYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10042820MEDICAIDIOWA

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: 5/5/2024

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