is a Dental Clinic in Pullman, Washington. It is located at 1410 Se Bishop Blvd, Pullman, WA and its contact number is 509-332-2329. The authorized person for is Alfred M Fairbanks
who is Owner of the clinic and their contact number is 509-332-2329. The primary license number for is DE-00004076 (General Practice) in Washington. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
1410 Se Bishop Blvd, Pullman, Washington, 99163
Phone:
509-332-2329
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:
Alfred M Fairbanks
Position:
Owner
Contact Number:
509-332-2329
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 clinic are as mentioned below.
NPI Number:
1891917811
NPI Enumeration Date:
02 May, 2007
NPI Last Update On:
04 Aug, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
DE-00004076
Washington
Primary
General Practice
60031734400
Washington
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1410 Se Bishop Blvd, Pullman, Washington
Zip:
99163
Phone Number:
509-332-2329
Fax Number:
509-332-9239
Patients can reach at 1410 Se Bishop Blvd, Pullman, Washington or can call to book an appointment on 509-332-2329. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.