FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
NPI 1750038089
Clinic/Center - Oral and Maxillofacial Surgery in Windsor, CO

Active since March 07, 2022
1555 MAIN ST UNIT A2, WINDSOR, CO 80550(720) 328-4990(720) 328-4994 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2022, Mar 7, 2022 (2 updates tracked since 2022).

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 1750038089), doing business as Altitude Oral & Facial Surgery Pllc, is a healthcare organization registered as an oral and maxillofacial surgery in Windsor, Colorado and active in the NPI registry since March 2022. The organization lists Brian J Fangman, Dds, as its authorized official.

NPPES Registry Identity

NPI1750038089
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameFANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC
Location Address1555 MAIN ST UNIT A2Windsor, CO 80550-5999
Mailing Address5600 W 44th Ave Ste 100Denver, CO 80212-7339 · (720) 328-4990 · Fax (720) 328-4994
Fax(720) 328-4994
Organization SubpartNo
Authorized OfficialBrian J FangmanDds · (614) 354-7468
Enumeration DateMarch 7, 2022
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1750038089 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.

1555 MAIN ST UNIT A2, Windsor, CO 80550

Other Names 1

Doing Business AsAltitude Oral & Facial Surgery Pllc

Other Identifiers 2

Other1609027556NY · Individual Npi
Medicaid82781257CO

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.

Dental Hygienist
1555 MAIN ST UNIT A2
WINDSOR, CO 80550
Dentist
1555 MAIN ST UNIT A2
WINDSOR, CO 80550
Dental Hygienist
1555 MAIN ST UNIT A2
WINDSOR, CO 80550

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 1750038089. It was assigned to this organization in the NPPES registry on March 7, 2022. The provider is doing business as Altitude Oral & Facial Surgery PLLC.

Where is Fangman Oral And Facial Surgery Professional LLC located?

Fangman Oral And Facial Surgery Professional LLC is located at 1555 Main St Unit A2, Windsor, CO 80550. 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 April 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.