Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jay Edward Fandel, DMD

Individual provider Dentist · NPI 1417040940

Dr. Jay Edward Fandel, DMD is a Dentist in San Angelo, Texas. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2102 Pecos St Ste 1
San Angelo, TX 76901-3061
Phone: (325) 944-4984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2612-91 (MS)

Record details

NPI number1417040940
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022
Mailing address5618 Woodbine Ln, San Angelo, TX 76904

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