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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.