Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. W. JACKSON FAIRCLOTH JR., D.D.S.
ActiveDR. W. JACKSON FAIRCLOTH JR., D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1679595003 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CHARLOTTESVILLE, VA
Registration Details
- NPI Number
- 1679595003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (20.060921666018 yrs)
- Last Updated
- Aug 8, 2007
- License
-
0401005586 (VA)
Practice Information
- Address
-
244 HYDRAULIC RIDGE RDCHARLOTTESVILLE, VA, 229018124Browse VA providers · Browse ZIP 22901
- Phone
- 4349733348
- Fax
- 4349775790
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in CHARLOTTESVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| CARLOS R IBANEZ | DDS | 1154327005 |
| DR. EDWARD SULLIVAN AMRHEIN | DDS | 1942296819 |
| DR. NATHANIEL D TRICKER | DDS | 1114903739 |
| DR. JAMES MICHAEL SOLOMON | DDS | 1669442828 |
| DR. TONU THOMAS KANGUR | D.D.S. | 1154349991 |
| DR. PETER W EISENHARDT | D.D.S. | 1316969736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.