Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENNIS RULON FAIRBOURN, DMD
ActiveDENNIS RULON FAIRBOURN, DMD is a Dentist healthcare provider located in REPRESA, California. NPI 1730362930 is currently active in the NPPES registry. Verify at CMS.
Dentist · REPRESA, CA
Registration Details
- NPI Number
- 1730362930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2007 (18.657500806734 yrs)
- Last Updated
- Dec 11, 2007
- License
-
24664 (CA)
Practice Information
- Address
-
100 PRISON ROADCALIFORNIA STATE PRISON SACRAMENTOREPRESA, CA, 95671Browse CA providers · Browse ZIP 95671
- Phone
- 9109858610
- Fax
- 9162943066
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in REPRESA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY CARL TINLOY | D.D.S. | 1588661730 |
| DR. CARL M GRIFFITH | DDS | 1679752992 |
| DR. ROBERT WAYNE STARR | DDS | 1871774935 |
| CHANGSU PARK | D. D. S. | 1548441033 |
| DR. JOHN MACIEL JR. | DDS | 1235312463 |
| DR. HARRY MORAN SINGH DHESI | DDS | 1275717340 |
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.