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DR. CONNOR FAIRBANKS DDS
NPI 1952822686
Dentist - General Practice in Pocatello, ID

Active since July 03, 2017
921 S 8TH AVE STOP 8088, POCATELLO, ID 83209(208) 282-6000 Get Directions Write a Review

NPPES record last updated: July 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Connor Fairbanks Dds NPPES

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

DR. CONNOR FAIRBANKS DDS (NPI 1952822686) is an individual general practice provider in Pocatello, Idaho, licensed in Idaho (D-4836) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1952822686
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CONNOR FAIRBANKSCredential: DDS
Location Address921 S 8TH AVE STOP 8088Pocatello, ID 83209-0002
Mailing Address921 S 8th Ave Stop 8088Pocatello, ID 83209-8088 · (208) 282-6000
Phone(208) 282-6000
Sole ProprietorNo
Enumeration DateJuly 3, 2017
✔ NPI 1952822686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-4836
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.
921 S 8TH AVE STOP 8088, Pocatello, ID 83209
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Other Identifiers 1

OtherD-4836ID · Idaho State Board Of Dentistry (dental License)

Other Providers at the Same Location NPPES 9

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

DR. NICOLA G ZABOURA
Dentist
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209
Bannock County (440) 623-1264
JULIA KREK
Dentist
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209
Bannock County (208) 282-2150
CHLOE BURTON BIRCHFIELD DMD
Dentist
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209
Bannock County (208) 282-3470
SPENCER BRAY DDS
Dentist
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209
Bannock County (208) 282-5834
AUSTIN MCCULLOUGH DDS
Dentist
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209
Bannock County (208) 282-6000
DR. POONAM KAUR FURMAH DMD
Dentist
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209
Bannock County (216) 309-5671
SCOTT CHARLES GRILLIOT DMD
Dentist
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209
Bannock County (208) 282-1040
FREDERICK CHO
Dentist
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209
Bannock County (208) 282-3289

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 Connor Fairbanks's NPI number?

The NPI number for Connor Fairbanks is 1952822686. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Connor Fairbanks located?

Connor Fairbanks practices at 921 S 8th Ave Stop 8088, Pocatello, ID 83209. The listed phone number is (208) 282-6000.

What is Connor Fairbanks's specialty?

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

When was this NPI record last updated?

The NPPES record for Connor Fairbanks was last updated on July 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.