FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
NPI 1386398667
Clinic/Center - Oral and Maxillofacial Surgery in Commerce City, CO

Active since February 07, 2022
18335 E 103RD AVE UNIT 102, COMMERCE CITY, CO 80022(720) 328-4990(720) 328-4994 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fangman Oral And Facial Surgery Professional Llc NPPES

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

FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC (NPI 1386398667), doing business as Altitude Oral And Facial Surgery Pllc, is a healthcare organization registered as an oral and maxillofacial surgery in Commerce City, Colorado and active in the NPI registry since February 2022. The organization lists Brian Fangman, Owner/oral Surgeron, as its authorized official.

NPPES Registry Identity

NPI1386398667
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameFANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
Location Address18335 E 103RD AVE UNIT 102Commerce City, CO 80022-3103
Mailing Address5600 W 44th Ave # 100Denver, CO 80212-7339 · (720) 328-4990 · Fax (720) 328-4994
Fax(720) 328-4994
Organization SubpartNo
Authorized OfficialBrian FangmanOwner/oral Surgeron · (720) 328-4990
Enumeration DateFebruary 7, 2022
Last NPPES UpdateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
NPI 1386398667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
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.
18335 E 103RD AVE UNIT 102, Commerce City, CO 80022

Other Names 1

Doing Business AsAltitude Oral And Facial Surgery Pllc

Other Identifiers 2

Other1609027556NY · Npi
Medicaid1952791964CO

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 Oral And Facial Surgery Professional LLC's NPI number?

The NPI number for Fangman Oral And Facial Surgery Professional LLC is 1386398667. It was assigned to this organization in the NPPES registry on February 7, 2022. The provider is doing business as Altitude Oral and Facial Surgery PLLC.

Where is Fangman Oral And Facial Surgery Professional LLC located?

Fangman Oral And Facial Surgery Professional LLC is located at 18335 E 103rd Ave Unit 102, Commerce City, CO 80022. The listed phone number is (720) 328-4990.

What is Fangman Oral And Facial Surgery Professional LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Fangman Oral And Facial Surgery Professional LLC was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.