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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN M. FAIRBANKS, D.D.S., PLLC

Active Organization

General Dentistry · PULLMAN, WA

Registration Details

NPI Number
1144546102
Provider Type
Organization
NPI Issued
Apr 15, 2010 (16.052623705252 yrs)
Last Updated
Mar 16, 2012
License
DE00008587 (WA)

Practice Information

Address
1410 SE BISHOP BLVD # 1S
PULLMAN, WA, 991635419
Browse WA providers · Browse ZIP 99163
Phone
5093346700
Fax
5093349239
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in PULLMAN, WA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.