Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN JACOB FULLINFAW, DDS
ActiveIAN JACOB FULLINFAW, DDS is a General Dentistry healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1861187205 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · COUNCIL BLUFFS, IA
Registration Details
- NPI Number
- 1861187205
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2023 (3.3579845453435 yrs)
- Last Updated
- Oct 16, 2024
- Licenses
-
13750 (CT)DDS-10256 (IA)7932 (NE)
Practice Information
- Address
-
1026 WOODBURY AVECOUNCIL BLUFFS, IA, 515037915Browse IA providers · Browse ZIP 51503
- Phone
- 7122018891
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in COUNCIL BLUFFS, IA
| Name | Credential | NPI |
|---|---|---|
| JIMMIE L. PINKHAM JR. | DDS | 1215925177 |
| DR. ANDREA LYNNE CARDENZANA | DDS | 1790774024 |
| DR. THOMAS ROBERT SCHIERBROCK | DDS | 1124018106 |
| DR. JAMES R KNOTT | DDS | 1427022987 |
| DR. J TERRY JOHNSON | DDS | 1639143316 |
| DR. DAVID LEE JONES | DDS | 1366417016 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.