Paul Fairbanks, DDS
NPI #1316329758 in Prineville, Oregon
Provider Information
- NPI Number
- 1316329758
- Entity Type
- Individual
- Name
- Paul Fairbanks, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 22, 2015
- Last Updated
- Feb 28, 2017
Practice Location
- Address
- 601 NW 3RD ST
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754
- Phone
- (541) 447-4888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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