Kevin Jon Fairhurst, DMD

NPI #1093976904 in Great Falls, Montana

Provider Information

NPI Number: 1093976904
Entity Type: Individual
Name: Kevin Jon Fairhurst, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 23, 2008
Last Updated: Jul 13, 2010

Practice Location

Address: 900 10TH AVE NW
City: Great Falls
State: Montana
ZIP Code: 59404-1747
Phone: (406) 761-1365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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