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Alfred M. Fairbanks, DDS
General Practice Dentistry in Pullman, Washington
NPI 1851305197

Alfred M. Fairbanks is a General Practice Dentistry based in Pullman, WA and is specialized in General Practice. Alfred M. Fairbanks practices in Pullman, WA and has the professional credentials of DDS. The NPI Number for Alfred M. Fairbanks is 1851305197 and holds a License No. AF4803804 (Washington).

The current practice location address for Alfred M. Fairbanks is 1410 Se Bishop Blvd, Pullman, WA and can be reached out via phone at 509-332-2329 and via fax at 506-322-5456.

Location: 1410 Se Bishop Blvd, Pullman, WA, 99163-5419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851305197
Provider Name
Alfred M. Fairbanks
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1410 Se Bishop Blvd, Pullman, WA, 99163-5419
Phone Number
509-332-2329
Fax Number
506-322-5456
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5033287 05 WA
AF4803804 01 WA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1410 Se Bishop Blvd
City
Pullman
State
Washington
Zip
99163-5419
Phone Number
509-332-2329
Fax Number
506-322-5456
person
Provider Business Mailing Address Details
Address
1410 Se Bishop Blvd
City
Pullman
State
Washington
Zip
99163-5419
Phone Number
509-332-2329
Fax Number
506-322-5456
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
AF4803804 (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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