Search › New Mexico › 1223X0400X
Michael Fanning, D.D.S., M.S.D
NPI 1700153475 · on the registry since 2011 · sole proprietor
Practice
- Address
- 8212 Louisiana Blvd Ne Ste A
Albuquerque, NM 87113 - Phone
- (505) 400-9855
- Organisation at this address
- Happy Campers Pediatric Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-24
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 New Mexico