FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
NPI 1518612266
Clinic/Center - Oral and Maxillofacial Surgery in Lone Tree, CO

Q: 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.

Active since February 21, 2022

10375 PARK MEADOWS DR STE 150, LONE TREE, CO 80124(720) 328-4990(720) 328-4994 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1518612266), doing business as Altitude Oral & Facial Surgery Pllc, is a healthcare organization registered as an oral and maxillofacial surgery in Lone Tree, Colorado and active in the NPI registry since February 2022. The organization lists Brian J Fangman, Owner/oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1518612266

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameFANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC

Location Address10375 PARK MEADOWS DR STE 150Lone Tree, CO 80124-6755

Mailing Address5600 W 44th Ave Unit 100Denver, CO 80212-7339 · (720) 328-4990 · Fax (720) 328-4994

Phone(720) 328-4990

Fax(720) 328-4994

Organization SubpartNo

Authorized OfficialBrian J FangmanOwner/oral Surgeon · (614) 354-7468

Enumeration DateFebruary 21, 2022

NPPES CertifiedFebruary 21, 2022

✔ NPI 1518612266 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.

10375 PARK MEADOWS DR STE 150, Lone Tree, CO 80124

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Other Names 1

Doing Business AsAltitude Oral & Facial Surgery Pllc

Other Identifiers 2

Medicaid82781257CO

Other1609027556NY · Individual Npi

Other Providers at the Same Location NPPES 7

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

PRIORITY MEDICAL CARE, LLC

Clinic/Center (Medical Specialty)