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PULLMAN SMILES
NPI 1144546102
Dentist - General Practice in Pullman, WA

Active since April 15, 2010
1410 SE BISHOP BLVD # 1S, PULLMAN, WA 99163(509) 334-6700(509) 334-9239 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pullman Smiles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PULLMAN SMILES (NPI 1144546102) is a healthcare organization registered as a general practice in Pullman, Washington and active in the NPI registry since April 2010. The organization lists Jonathan Marvin Fairbanks, Dentist, as its authorized official.

NPPES Registry Identity

NPI1144546102
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJONATHAN M. FAIRBANKS, D.D.S., PLLC
Location Address1410 SE BISHOP BLVD # 1SPullman, WA 99163-5419
Mailing Address1410 Se Bishop Blvd # 1sPullman, WA 99163-5419 · (509) 334-6700 · Fax (509) 334-9239
Phone(509) 334-6700
Fax(509) 334-9239
Organization SubpartNo
Authorized OfficialJonathan Marvin FairbanksDentist · (509) 332-7463
Enumeration DateApril 15, 2010
Last NPPES UpdateMarch 16, 2012
✔ NPI 1144546102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00008587
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1410 SE BISHOP BLVD # 1S, Pullman, WA 99163
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Other Names 1

Doing Business AsPullman Smiles

Other Identifiers 1

Medicaid5033295WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan M. Fairbanks, D.D.S., PLLC's NPI number?

The NPI number for Jonathan M. Fairbanks, D.D.S., PLLC is 1144546102. It was assigned to this organization in the NPPES registry on April 15, 2010. The provider is doing business as Pullman Smiles.

Where is Jonathan M. Fairbanks, D.D.S., PLLC located?

Jonathan M. Fairbanks, D.D.S., PLLC is located at 1410 SE Bishop Blvd # 1S, Pullman, WA 99163. The listed phone number is (509) 334-6700.

What is Jonathan M. Fairbanks, D.D.S., PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jonathan M. Fairbanks, D.D.S., PLLC was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.