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Connor Fairbanks, DDS
NPI 1952822686 · on the registry since 2017
Practice
- Address
- 921 S 8th Ave Stop 8088
Pocatello, ID 83209 - Phone
- (208) 282-6000
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-07-03
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 Idaho