SearchKentucky1223G0001X

Jeremy Fairbourn, DDS

NPI 1750695037 · on the registry since 2010 · sole proprietor

Practice

Address
207a Alpine Dr
Shelbyville, KY 40065
Phone
(502) 633-3900
Fax
(502) 633-3999
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-04-18

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 Kentucky