A.M. Fairbanks D.D.S.
Organization Active NPI General Practice Dentistry · Pullman, WA
NPI 1891917811 · NPPES record last updated Aug 4, 2008
Key facts
- NPI
- 1891917811
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE-00004076 (WA)
- Legal business name
- A.M. FAIRBANKS D.D.S.
- Practice address
- 1410 SE Bishop Blvd
Pullman, WA 99163 - Phone
- (509) 332-2329
- Fax
- (509) 334-9239
- NPI assigned
- May 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Alfred M Fairbanks, DDS
- Title
- Owner
- Phone
- (509) 332-2329
Practitioners 1
National Provider Directory
Locations
1410 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2329
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 60031734400 | WA | |
| General Practice Dentistry |
1223G0001X | DE-00004076 | WA | Yes |
Addresses
Primary practice location
1410 SE Bishop Blvd
Pullman, WA 99163
Mailing address
1410 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2329
Other names
- Todays Dental
Other providers in Pullman, WA
All providers in Pullman, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.