Fairbanks Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

8385285-9922 Issued in UT

Legal business name

FAIRBANKS FAMILY DENTAL

Practice address

2414 W 7800 S
Suite B
West Jordan, UT 84088-4292

Phone

(385) 275-7400

Fax

(385) 351-6621

NPI assigned

Oct 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Leo Fairbanks, DMD

Title

Dentist/Owner

Phone

(385) 275-7400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1356779995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 W 7800 S",
            "address_2": "SUITE B",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884292",
            "telephone_number": "385-275-7400",
            "fax_number": "385-351-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 W 7800 S",
            "address_2": "SUITE B",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884292",
            "telephone_number": "385-275-7400",
            "fax_number": "385-351-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "385-275-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "8385285-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maelyn Evans
• Evergreen Clinic LLC
• Eye Center of West Jordan, LLC
• Aleina Eyre, SUDC
• Cory J Fabrizio, DMD
• Cassandra Fairclough, MSW, CSW
• David Duffin Falck, CMHC
• Vianka Falcon
• Families First Oral Surgery
• Families First Orthodontics

• Dentist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.