P Praxis·MD
● Active Type 1 · Individual

DR. Jay Edward Fandel, D.M.D.

Dentist·San Angelo, TX· NPI 1417040940 · Enumerated 2006 · 19 years on NPI
Fandel is 1 of 22 dentist providers in San Angelo and 1 of 9237 in Texas.
NPI age
19 years
Enumerated 2006-10-02
Primary specialty
Dentist
Licensed in
MS
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 9237 active dentist providers in Texas.

NPI age
19 years
↑ 7 yr above median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
2102 Pecos St Ste 1
San Angelo, TX 769013061
📞 3259444984
Mailing address
5618 Woodbine Ln
San Angelo, TX 76904
📞 3256543676

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    MS license #2612-91 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 9237 Dentist providers in Texas?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related