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

Michael John Fangman, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386107795

Michael John Fangman, DDS is a Student in an Organized Health Care Education/Training Program in Redlands, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

407 Brookside Ave
Redlands, CA 92373-4609
Phone: (909) 335-3644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 W 6th Ave, Denver, CO 80204-5182 — (303) 436-6000

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 105010 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386107795
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 11, 2019
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing address301 W 6th Ave, Denver, CO 80204-5182

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