| Fairbanks Orthodontics, P.c. | |
|
3300 North Running Creek Way Building F # 102 Lehi UT 84043 | |
| (385) 336-6604 | |
| Not Available |
| Full Name | Fairbanks Orthodontics, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3300 North Running Creek Way, Lehi, Utah |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Orthodontics, P.c. 3300 North Running Creek Way Building F # 102 Lehi UT 84043 Ph: (385) 336-6604 | Fairbanks Orthodontics, P.c. 3300 North Running Creek Way Building F # 102 Lehi UT 84043 Ph: (385) 336-6604 |
| NPI Number | 1710658653 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710658653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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