DR. Connor Fairbanks, DDS

NPI #1952822686 in Pocatello, Idaho

Provider Information

NPI Number: 1952822686
Entity Type: Individual
Name: DR. Connor Fairbanks, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 3, 2017
Last Updated: Jul 3, 2017

Practice Location

Address: 921 S 8TH AVE STOP 8088
City: Pocatello
State: Idaho
ZIP Code: 83209-0002
Phone: (208) 282-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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