Jay E. Fandel, D.M.D.
General Dentistry · San Angelo, TX
UnclaimedD.M.D.NPI 1417040940
- Primary taxonomy
- 122300000X
- Enumerated
- 2006-10-02
- Practice location
- San Angelo, TX
- Last NPPES update
- 2022-09-22
State licenses
- MS · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.