Organization Active NPI

Julian H. Fair 3Rd,DMD,PA

  • Dentist
  • Wagener, SC
National Provider Identifier
1679787626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JULIAN H. FAIR 3RD,DMD,PA
Practice address
112 Louie St.
Wagener, SC 29164-0800
Phone
(803) 564-3446
Fax
(803) 564-5254
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julian H Fair 3Rd, DMD
Title
President
Phone
(803) 564-3446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

112 Louie St.
Wagener, SC 29164-0800

Mailing address

PO Box 800
Wagener, SC 29164-0800
Phone (803) 564-3446

National Provider Directory

National Provider Directory

Locations

112 Louie St
Wagener, SC 29164
Phone (803) 291-4158

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679787626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "WAGENER",
            "state": "SC",
            "postal_code": "291640800",
            "telephone_number": "803-564-3446",
            "fax_number": "803-564-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LOUIE ST.",
            "city": "WAGENER",
            "state": "SC",
            "postal_code": "291640800",
            "telephone_number": "803-564-3446",
            "fax_number": "803-564-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN H. FAIR 3RD,DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIR 3RD",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-564-3446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagener, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.