1. Home
  2. Directory
  3. Kentucky
  4. Shelbyville
  5. Dentist
  6. NPI Profile

JEREMY L FAIRBOURN DDS, PLLC
NPI 1396081576
Dentist - General Practice in Shelbyville, KY

Active since December 17, 2012
207 ALPINE DR, SHELBYVILLE, KY 40065(502) 633-3900 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy L Fairbourn Dds, Pllc NPPES

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

JEREMY L FAIRBOURN DDS, PLLC (NPI 1396081576) is a healthcare organization registered as a general practice in Shelbyville, Kentucky and active in the NPI registry since December 2012. The organization lists Jeremy Lynn Fairbourn, Member, as its authorized official.

NPPES Registry Identity

NPI1396081576
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJEREMY L FAIRBOURN DDS, PLLC
Location Address207 ALPINE DRShelbyville, KY 40065-8881
Mailing Address207 Alpine DrShelbyville, KY 40065-8881
Phone(502) 633-3900
Organization SubpartNo
Authorized OfficialJeremy Lynn FairbournMember · (502) 633-3900
Enumeration DateDecember 17, 2012
✔ NPI 1396081576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 9270
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.
207 ALPINE DR, Shelbyville, KY 40065
Open in Google Maps ↗

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

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

DR. DARRIN JAMES VIOLI DMD
Dentist (Oral and Maxillofacial Surgery)
207 ALPINE DR
SHELBYVILLE, KY 40065
Shelby County (502) 633-4828

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 Jeremy L Fairbourn Dds, PLLC's NPI number?

The NPI number for Jeremy L Fairbourn Dds, PLLC is 1396081576. It was assigned to this organization in the NPPES registry on December 17, 2012.

Where is Jeremy L Fairbourn Dds, PLLC located?

Jeremy L Fairbourn Dds, PLLC is located at 207 Alpine Dr, Shelbyville, KY 40065. The listed phone number is (502) 633-3900.

What is Jeremy L Fairbourn Dds, PLLC's specialty?

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

What insurance does Jeremy L Fairbourn Dds, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and UnitedHealthcare list Jeremy L Fairbourn Dds, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy L Fairbourn Dds, PLLC was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.