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Jonathan M. Fairbanks, D.d.s., Pllc
General Practice Dentistry in Pullman, Washington
NPI 1144546102

Jonathan M. Fairbanks, D.d.s., Pllc is a General Practice Dentistry based in Pullman, WA and is specialized in General Practice. Jonathan M. Fairbanks, D.d.s., Pllc practices in Pullman, WA. The NPI Number for Jonathan M. Fairbanks, D.d.s., Pllc is 1144546102 and holds a License No. DE00008587 (Washington).

The current practice location address for Jonathan M. Fairbanks, D.d.s., Pllc is 1410 Se Bishop Blvd # 1S, Pullman, WA and can be reached out via phone at 509-334-6700 and via fax at 509-334-9239.

Location: 1410 Se Bishop Blvd # 1S, Pullman, WA, 99163-5419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144546102
Provider Name
Jonathan M. Fairbanks, D.d.s., Pllc
Credential
Provider Entity Type
Organization
Address
1410 Se Bishop Blvd # 1S, Pullman, WA, 99163-5419
Phone Number
509-334-6700
Fax Number
509-334-9239
Provider Enumeration Date
04/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5033295 05 WA
institution
Provider Business Practice Location Address Details
Address
1410 Se Bishop Blvd # 1S
City
Pullman
State
Washington
Zip
99163-5419
Phone Number
509-334-6700
Fax Number
509-334-9239
person
Provider Business Mailing Address Details
Address
1410 Se Bishop Blvd # 1S
City
Pullman
State
Washington
Zip
99163-5419
Phone Number
509-334-6700
Fax Number
509-334-9239
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00008587 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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