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DENNIS RULON FAIRBOURN DMD
NPI 1730362930
Dentist in Represa, CA

Active since December 11, 2007
100 PRISON ROAD, CALIFORNIA STATE PRISON SACRAMENTO, REPRESA, CA 95671(910) 985-8610(916) 294-3066 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dennis Rulon Fairbourn Dmd NPPES

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

DENNIS RULON FAIRBOURN DMD (NPI 1730362930) is an individual dentist in Represa, California, licensed in California (24664) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1730362930
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDENNIS RULON FAIRBOURNCredential: DMD
Location Address100 PRISON ROAD, CALIFORNIA STATE PRISON SACRAMENTORepresa, CA 95671
Mailing Address100 Prison Road, California State Prison SacramentoRepresa, CA 95671 · (910) 985-8610 · Fax (916) 294-3066
Phone(910) 985-8610
Fax(916) 294-3066
Sole ProprietorNo
Enumeration DateDecember 11, 2007
✔ NPI 1730362930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 24664
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.
100 PRISON ROAD, Represa, CA 95671
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Other Providers at the Same Location NPPES 6

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

CORRECTIONS AND REHABILITATION-HEADQUARTERS
Pharmacy
100 PRISON ROAD
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. TIMOTHEA GREER MCGINLEY PH.D.
Psychologist (Clinical)
100 PRISON ROAD, CSP SACRAMENTO
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. JOHN MACIEL JR. DDS
Dentist
100 PRISON ROAD, CALIFORNIA STATE PRISON SACRAMENTO
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. HARRY MORAN SINGH DHESI DDS
Dentist
100 PRISON ROAD, CALIFORNIA STATE PRISON SACRAMENTO
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. MONICA LYNN KROENLEIN PSYD
Psychologist (Clinical)
100 PRISON ROAD
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. SANGITA PRASAD PSYD
Student in an Organized Health Care Education/Training Program
100 PRISON ROAD, CA DEPT OF CORRECTION AND REHABILITATION
REPRESA, CA 95671
Sacramento County (916) 985-8610

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 Dennis Fairbourn's NPI number?

The NPI number for Dennis Fairbourn is 1730362930. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Dennis Fairbourn located?

Dennis Fairbourn practices at 100 Prison Road California State Prison Sacramento, Represa, CA 95671. The listed phone number is (910) 985-8610.

What is Dennis Fairbourn's specialty?

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

When was this NPI record last updated?

The NPPES record for Dennis Fairbourn was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.