Search › Iowa › 1223G0001X
Ian Fullinfaw, DDS
NPI 1861187205 · on the registry since 2023
Practice
- Address
- 1026 Woodbury Ave
Council Bluffs, IA 51503 - Phone
- (712) 201-8891
- Organisation at this address
- Omni Dental Centres, Llp
Omni Dental Centres, Llp
Omni Council Bluffs Dental PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 14133 Q St, Omaha, NE
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
1223G0001X - Licence states on file
- CT, IA, NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa