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FANGMAN & IVEY ORAL AND FACIAL SURGERY PLLC
NPI 1275120495
Dentist - Oral and Maxillofacial Surgery in Denver, CO

Active since December 22, 2020
1440 BLAKE ST STE 100, DENVER, CO 80202(720) 328-4990(720) 328-4994 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fangman & Ivey Oral And Facial Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANGMAN & IVEY ORAL AND FACIAL SURGERY PLLC (NPI 1275120495), doing business as Altitude Oral And Facial Surgery Center, is a healthcare organization registered as an oral and maxillofacial surgery in Denver, Colorado and active in the NPI registry since December 2020. The organization lists Brian John Fangman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1275120495
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFANGMAN & IVEY ORAL AND FACIAL SURGERY PLLC
Location Address1440 BLAKE ST STE 100Denver, CO 80202-1475
Mailing Address5600 W 44th Ave Ste 100Denver, CO 80212-7339 · (720) 328-4990 · Fax (720) 328-4994
Phone(720) 328-4990
Fax(720) 328-4994
Organization SubpartNo
Authorized OfficialBrian John FangmanPresident/ceo · (720) 328-4990
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1275120495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist 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.
1440 BLAKE ST STE 100, Denver, CO 80202
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Other Names 1

Doing Business AsAltitude Oral And Facial Surgery Center

Other Identifiers 3

Other1013358985TX · Individual Npi
Other1609027556NY · Individual Npi
Medicaid1952791964CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENVER SURGICAL SPECIALISTS PC
Dentist (Oral and Maxillofacial Surgery)
1440 BLAKE ST STE 100
DENVER, CO 80202
Denver County (720) 843-3353
DR. BRIAN FANGMAN DDS
Dentist (Oral and Maxillofacial Surgery)
1440 BLAKE ST STE 100
DENVER, CO 80202
Denver County (614) 354-7468
FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
Dentist (Oral and Maxillofacial Surgery)
1440 BLAKE ST STE 100
DENVER, CO 80202
Denver County (720) 328-4990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fangman & Ivey Oral And Facial Surgery PLLC's NPI number?

The NPI number for Fangman & Ivey Oral And Facial Surgery PLLC is 1275120495. It was assigned to this organization in the NPPES registry on December 22, 2020. The provider is doing business as Altitude Oral and Facial Surgery Center.

Where is Fangman & Ivey Oral And Facial Surgery PLLC located?

Fangman & Ivey Oral And Facial Surgery PLLC is located at 1440 Blake St Ste 100, Denver, CO 80202. The listed phone number is (720) 328-4990.

What is Fangman & Ivey Oral And Facial Surgery PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Fangman & Ivey Oral And Facial Surgery PLLC was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.