Doctor profile · Federal record

Dr. Jay Fandel, D.M.D.

Dentist · San Angelo, TX

  • NPI 1417040940
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2102 Pecos St Ste 1
San Angelo, TX 769013061
(325) 944-4984
Mailing address
5618 Woodbine Ln
San Angelo, TX 76904

Credentials & registration

NPPES · NUCC
NPI registered
October 2006 — 20 yrs on file
Profile last updated
September 22, 2022
Specialty taxonomy
122300000X — NUCC code
State license (1)
Mississippi #2612-91

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417040940. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$681
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Acteon INC 1 $681.00

By nature of payment

Gift
$681

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
95
Patients
57
Total drug cost
$725
Drug Type Claims Patients Total cost
Amoxicillin Generic 59 43 $274
Chlorhexidine Gluconate Generic 21 0 $245
Clindamycin Hcl Generic 15 14 $206

Frequently asked questions

Auto-generated from federal data
What is Dr. Jay Fandel's medical specialty?
Dr. Jay Fandel practices Dentist in San Angelo, TX.
Where does Dr. Jay Fandel practice?
Dr. Jay Fandel practices at 2102 Pecos St Ste 1, San Angelo, TX 769013061. Office phone: 3259444984.
What is Dr. Jay Fandel's NPI?
Dr. Jay Fandel's National Provider Identifier (NPI) is 1417040940, issued by NPPES.