DR. GRANT R FAIRBANKS MD
NPI 1861531105
Plastic Surgery in Salt Lake City, UT

Q: What is Grant Fairbanks's NPI number?

The NPI number for Grant Fairbanks is 1861531105. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Grant Fairbanks's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Grant Fairbanks was last updated on January 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 05, 2007

1151 E 3900 S, SUITE B110, SALT LAKE CITY, UT 84124(801) 268-8838(801) 268-8264 Get Directions Write a Review

NPPES record last updated: January 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Grant R Fairbanks Md NPPES

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

DR. GRANT R FAIRBANKS MD (NPI 1861531105) is an individual plastic surgery provider in Salt Lake City, Utah, licensed in Utah (1487731205) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1861531105

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. GRANT R FAIRBANKSCredential: MD

Location Address1151 E 3900 S, SUITE B110Salt Lake City, UT 84124-1216

Mailing Address1151 E 3900 S, Suite B110Salt Lake City, UT 84124-1216 · (801) 268-8838 · Fax (801) 268-8264

Phone(801) 268-8838

Fax(801) 268-8264

Sole ProprietorNo

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJanuary 4, 2013

✔ NPI 1861531105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in UT · 1487731205

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1151 E 3900 S, Salt Lake City, UT 84124

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