Jay Edward Fandel, D.M.D.

Dentist · San Angelo, TX

Individual Active NPI

NPI number 1417040940

Practice location

2102 Pecos St Ste 1
San Angelo, TX 76901-3061
Phone
(325) 944-4984

Open in Google Maps

NPI record

NPI
1417040940
Entity type
Individual (Type 1)
Enumeration date
October 2, 2006
Last updated
September 22, 2022
Certified
September 22, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2612-91 MS

Mailing address

5618 Woodbine Ln
San Angelo, TX 76904
Phone
(325) 654-3676

About Dr. Fandel

Jay Edward Fandel, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2102 Pecos St Ste 1, San Angelo, TX 76901-3061. The NPI number 1417040940 was assigned on October 2, 2006 and the record was last updated on September 22, 2022.

Dr. Fandel lists a license in the registry: #2612-91 (MS) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Edward Fandel, D.M.D.?

The NPI number is 1417040940.

What is the phone number of Dr. Fandel?

The phone number listed for the practice location is (325) 944-4984.

Where is Dr. Fandel located?

2102 Pecos St Ste 1, San Angelo, TX 76901-3061.

What is the taxonomy code for Dr. Fandel?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in San Angelo

All Dentist providers in San Angelo, TX →