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IAN JACOB FULLINFAW DDS
NPI 1861187205
Dentist - General Practice in Council Bluffs, IA

Active since April 11, 2023
1026 WOODBURY AVE, COUNCIL BLUFFS, IA 51503(712) 201-8891 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2024, May 19, 2023, Apr 11, 2023 (3 updates tracked since 2023).

About Ian Jacob Fullinfaw Dds NPPES

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

IAN JACOB FULLINFAW DDS (NPI 1861187205) is an individual general practice provider in Council Bluffs, Iowa, licensed in Iowa (DDS-10256) and active in the NPI registry since April 2023. He maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1861187205
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameIAN JACOB FULLINFAWCredential: DDS
Location Address1026 WOODBURY AVECouncil Bluffs, IA 51503-7915
Mailing Address15711 Lakeside CirOmaha, NE 68135-1103 · (402) 917-0650
Phone(712) 201-8891
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateOctober 16, 20243 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1861187205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IA · DDS-10256✔ Licensed in NE · 7932
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 13750 (CT)
1026 WOODBURY AVE, Council Bluffs, IA 51503
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Secondary Practice Location 1

Location 114133 Q StOmaha, NE 68137-2600 · Phone (402) 506-5100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Iowa, Guardian, Humana and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. KARA MULLINS DDS
Dentist
1026 WOODBURY AVE
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 847-8151
OMNI DENTAL CENTRES, LLP
Dentist (General Practice)
1026 WOODBURY AVE
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-8573
OMNI COUNCIL BLUFFS DENTAL PLLC
Dentist (General Practice)
1026 WOODBURY AVE
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 201-8891
DR. DAVID LEE JONES DDS
Dentist (General Practice)
1026 WOODBURY AVE, SUITE 30
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-8573
DR. KELSEY LEE WITTORF DDS
Dentist (General Practice)
1026 WOODBURY AVE
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 201-2289
OMNI DENTAL CENTRES, LLP
Dentist (General Practice)
1026 WOODBURY AVE
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-8573

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 Ian Fullinfaw's NPI number?

The NPI number for Ian Fullinfaw is 1861187205. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Ian Fullinfaw located?

Ian Fullinfaw practices at 1026 Woodbury Ave, Council Bluffs, IA 51503. The listed phone number is (712) 201-8891.

What is Ian Fullinfaw's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ian Fullinfaw accept?

Health plans from Delta Dental of Iowa, Guardian, Humana and Renaissance Dental list Ian Fullinfaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ian Fullinfaw was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.