DR. JAMES LEO FAIRBANKS DMD
NPI 1356629059
Dentist in Fort Leonard Wood, MO

Q: What is James Fairbanks's NPI number?

The NPI number for James Fairbanks is 1356629059. It was assigned to this individual provider in the NPPES registry on July 28, 2011.

Q: What is James Fairbanks's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for James Fairbanks was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since July 28, 2011

4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-0417 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 8, 2023, May 16, 2022, Apr 19, 2019 and 1 more (4 updates tracked since 2017).

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About Dr. James Leo Fairbanks Dmd NPPES

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

DR. JAMES LEO FAIRBANKS DMD (NPI 1356629059) is an individual dentist in Fort Leonard Wood, Missouri, licensed in Missouri (2021026049) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1356629059

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JAMES LEO FAIRBANKSCredential: DMD

Location Address4430 MISSOURI AVEFort Leonard Wood, MO 65473-9098

Mailing Address4430 Missouri AveFort Leonard Wood, MO 65473-9098 · (573) 596-0417

Phone(573) 596-0417

Sole ProprietorNo

Enumeration DateJuly 28, 2011

Last NPPES UpdateOctober 28, 20244 updates tracked since enumeration

NPPES CertifiedOctober 28, 2024

✔ NPI 1356629059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MO · 2021026049✔ Licensed in UT · 8385285-9922

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 61351 (KS), DS040267 (PA)

4430 MISSOURI AVE, Fort Leonard Wood, MO 65473

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Other Identifiers 1

Medicaid103036832 0001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JON-MARC THIBODEAU PA-C

Physician Assistant