Organization · Type 2 NPI

Jonathan M. Fairbanks, D.d.s., PLLC

General Practice Dentistry · Pullman, WA

NPI number 1144546102 Active

Practice location

1410 SE Bishop Blvd # 1S
Pullman, WA 99163-5419

Fax (509) 334-9239

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDE00008587 (WA)

General Practice Dentistry: 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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About NPI 1144546102

Jonathan M. Fairbanks, D.d.s., PLLC's National Provider Identifier is 1144546102, issued on Apr 15, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pullman, WA. The record was last updated on Mar 16, 2012.