DR. MATTHEW LANE FAIRBURN D.M.D. - NPI 1689764722

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Dr. Matthew Lane Fairburn D.m.d. NPPES

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

DR. MATTHEW LANE FAIRBURN D.M.D. (NPI 1689764722) is an individual general practice provider in Ridgeland, Mississippi, licensed in Mississippi (3292-04) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689764722

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MATTHEW LANE FAIRBURNCredential: D.M.D.

Location Address865 SOUTH PEAR ORCHARD ROADRidgeland, MS 39157

Mailing Address865 South Pear Orchard RoadRidgeland, MS 39157 · (601) 956-4007 · Fax (601) 956-2901

Phone(601) 956-4007

Fax(601) 956-2901

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 18, 2007

✔ NPI 1689764722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 3292-04

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.

865 SOUTH PEAR ORCHARD ROAD, Ridgeland, MS 39157

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Frequently Asked Questions

What is Matthew Fairburn's NPI number?

The NPI number assigned to this healthcare provider is 1689764722, enumerated as an "individual" on October 12, 2006.

Where is the provider located?

The provider is located at 865 SOUTH PEAR ORCHARD ROAD RIDGELAND, MS 39157 and the phone number is (601) 956-4007.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.