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Dr. Connor Fairbanks, DDS
General Practice Dentistry in Pocatello, Idaho
NPI 1952822686

Connor Fairbanks is a General Practice Dentistry based in Pocatello, ID and is specialized in General Practice. Connor Fairbanks practices in Pocatello, ID and has the professional credentials of DDS. The NPI Number for Connor Fairbanks is 1952822686 and holds a License No. D-4836 (Idaho).

The current practice location address for Connor Fairbanks is 921 S 8Th Ave Stop 8088, Pocatello, ID and can be reached out via phone at 208-282-6000.

Location: 921 S 8Th Ave Stop 8088, Pocatello, ID, 83209-8088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952822686
Provider Name
Connor Fairbanks
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
921 S 8Th Ave Stop 8088, Pocatello, ID, 83209-8088
Phone Number
208-282-6000
Fax Number
Provider Enumeration Date
07/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D-4836 01 ID IDAHO STATE BOARD OF DENTISTRY (DENTAL LICENSE)
institution
Provider Business Practice Location Address Details
Address
921 S 8Th Ave Stop 8088
City
Pocatello
State
Idaho
Zip
83209-0002
Phone Number
208-282-6000
Fax Number
person
Provider Business Mailing Address Details
Address
921 S 8Th Ave Stop 8088
City
Pocatello
State
Idaho
Zip
83209-0002
Phone Number
208-282-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-4836 (Idaho)
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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