Ian Jacob Fullinfaw is a Council Bluffs, Iowa based Dentist who is specialized in Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ian Jacob Fullinfaw is DDS-10256 for General Practice Dentistry in Iowa. His current practice location is 1026 Woodbury Ave, Council Bluffs. Patients can reach him at 712-201-8891.
Ian Jacob Fullinfaw is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ian Jacob Fullinfaw speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ian Jacob Fullinfaw
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1026 Woodbury Ave, Council Bluffs, Iowa, 51503-7915
Phone:
712-201-8891
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1861187205
NPI Enumeration Date:
11 Apr, 2023
NPI Last Update On:
16 Oct, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ian Jacob Fullinfaw are as mentioned below.
License Number
Specialization
State
Status
DDS-10256
General Practice Dentistry
Iowa
Primary
13750
Student in an Organized Health Care Education/Training Program
Connecticut
Secondary
7932
General Practice Dentistry
Nebraska
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15711 Lakeside Cir, Omaha, Nebraska
Zip:
68135-1103
Phone Number:
402-917-0650
Patients can reach Ian Jacob Fullinfaw at 1026 Woodbury Ave, Council Bluffs, Iowa or can call to book an appointment on 712-201-8891. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.