| Fairbanks Family Dental | |
|
2414 W 7800 S Suite B West Jordan UT 84088-4292 | |
| (385) 275-7400 | |
| (385) 351-6621 |
| Full Name | Fairbanks Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2414 W 7800 S, West Jordan, Utah |
| Authorized Official Name and Position | James Leo Fairbanks (DENTIST/OWNER) |
| Authorized Official Contact | 3852757400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Family Dental 2414 W 7800 S Suite B West Jordan UT 84088-4292 Ph: (385) 275-7400 | Fairbanks Family Dental 2414 W 7800 S Suite B West Jordan UT 84088-4292 Ph: (385) 275-7400 |
| NPI Number | 1356779995 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356779995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8385285-9922 (Utah) | Primary |
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