Ian Jacob Fullinfaw, DDS
Ian Jacob Fullinfaw, DDS is a Student in an Organized Health Care Education/Training Program in Council Bluffs, Iowa. Works from 2 locations. Licensed in Connecticut, Iowa and Nebraska.
- Licensed in
- CT, IA, NE
- In the registry since
- 2023
- Specialties on file
- 3
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.
Practice location Address checks out
Council Bluffs, IANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 14133 Q St, Omaha, NE 68137-2600 — (402) 506-5100
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DDS-10256 (IA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 13750 (CT) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 7932 (NE) |
Record details
| NPI number | 1861187205 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | April 11, 2023 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 16, 2024 |
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