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Jon Fairbanks, DMD
NPI 1518156991 · on the registry since 2007
Practice
- Address
- 5532 W. Herriman Main Street
#210
Herriman, UT 84096 - Phone
- (801) 446-9533
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah