Dr Michael J Fanning, DDS, MSD - Dentist in Albuquerque, NM

Dr Michael J Fanning, DDS, MSD is a Dentist - Orthodontics And Dentofacial Orthopedics based in Albuquerque, New Mexico. Dr Michael J Fanning is licensed to practice in New Mexico (license number DD3356) and his current practice location is 8212 Louisiana Blvd Ne Ste A, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 400-9855.

NPI number for Dr Michael J Fanning is 1700153475 and his current mailing address is 5507 Eakes Rd Nw, Los Ranchos, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700153475.

Contact Information

Dr Michael J Fanning, DDS, MSD
8212 Louisiana Blvd Ne Ste A,
Albuquerque, NM 87113-2105
(505) 400-9855
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael J Fanning
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location8212 Louisiana Blvd Ne Ste A, Albuquerque, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700153475
  • Provider Enumeration Date: 11/24/2011
  • Last Update Date: 11/24/2011

Medical Identifiers

Medical identifiers for Dr Michael J Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700153475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics DD3356 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael J Fanning is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael J Fanning, DDS, MSD
5507 Eakes Rd Nw,
Los Ranchos, NM 87107-5529

Ph: (505) 400-9855
Dr Michael J Fanning, DDS, MSD
8212 Louisiana Blvd Ne Ste A,
Albuquerque, NM 87113-2105

Ph: (505) 400-9855

Reviews and Comments


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