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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN JACOB FULLINFAW, DDS

Active

IAN 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 AVE
COUNCIL BLUFFS, IA, 515037915
Browse 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.