Individual provider · Type 1 NPI
Ronald Edward Fairfax, DDS
General Practice Dentistry · Hailey, ID
NPI number
1508966300
Active
Practice location
14 E. Elm St.
Hailey, ID 83333
Fax (208) 788-8575
Mailing address
PO Box 3150
Hailey, ID 83333-3150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D3221 (ID) |
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.
Other general practice dentistry providers in Hailey
About NPI 1508966300
Ronald Edward Fairfax, DDS's National Provider Identifier is 1508966300, issued on Sep 22, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hailey, ID. The record was last updated on Jul 8, 2007.