Jonathan M. Fairbanks, D.d.s., Pllc
Dental Clinic
1410 Se Bishop Blvd # 1s, Pullman
Washington, 99163-5419
509-334-6700 509-334-9239
Maps & DirectionsJonathan M. Fairbanks, D.d.s., Pllc is a Dental Clinic in Pullman, Washington. It is located at 1410 Se Bishop Blvd # 1s, Pullman, WA and its contact number is 509-334-6700. The authorized person for Jonathan M. Fairbanks, D.d.s., Pllc is Dr. Jonathan Marvin Fairbanks
who is Dentist of the clinic and their contact number is 509-332-7463. The primary license number for Jonathan M. Fairbanks, D.d.s., Pllc is DE00008587 (General Practice) in Washington.
Jonathan M. Fairbanks, D.d.s., Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Jonathan M. Fairbanks, D.d.s., Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jonathan M. Fairbanks, D.d.s., Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1410 Se Bishop Blvd # 1s, Pullman,
Washington, 99163-5419 |
| Phone: | 509-334-6700 |
| Fax: | 509-334-9239 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jonathan Marvin Fairbanks |
| Position: | Dentist |
| Contact Number: | 509-332-7463 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jonathan M. Fairbanks, D.d.s., Pllc clinic are as mentioned below.
| NPI Number: | 1144546102 |
| NPI Enumeration Date: | 15 Apr, 2010 |
| NPI Last Update On: | 16 Mar, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan M. Fairbanks, D.d.s., Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DE00008587 | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5033295 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jonathan M. Fairbanks, D.d.s., Pllc
1410 Se Bishop Blvd # 1s,
Pullman, Washington |
| Zip: | 99163-5419 |
| Phone Number: | 509-334-6700 |
| Fax Number: | 509-334-9239 |
Patients can reach Jonathan M. Fairbanks, D.d.s., Pllc at
1410 Se Bishop Blvd # 1s, Pullman, Washington or can
call to book an appointment on 509-334-6700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.