Organization · Type 2 NPI
Fairfax Dental Office PLLC
Student Health Clinic/Center · Fairfax, OK
NPI number
1992536478
Active
Practice location
158 N 2nd St
Fairfax, OK 74637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
About NPI 1992536478
Fairfax Dental Office PLLC's National Provider Identifier is 1992536478, issued on Aug 8, 2024. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Fairfax, OK. The record was last updated on Nov 26, 2024.