DR. Jeremy Lynn Fairbourn, DDS
NPI #1750695037 in Shelbyville, Kentucky
Provider Information
- NPI Number
- 1750695037
- Entity Type
- Individual
- Name
- DR. Jeremy Lynn Fairbourn, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 29, 2010
- Last Updated
- Apr 18, 2013
Practice Location
- Address
- 207A ALPINE DR
- City
- Shelbyville
- State
- Kentucky
- ZIP Code
- 40065-8881
- Phone
- (502) 633-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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