Matthew Lane Fairburn in Ridgeland - General Practice
Matthew Lane Fairburn - NPI 1689764722
Matthew Lane Fairburn is a General Practice in Ridgeland, Mississippi. Matthew Lane Fairburn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Matthew Lane Fairburn is 1689764722. The last update date is 2007-07-18.
Matthew Lane Fairburn's current location address is 865 South Pear Orchard Road, Ridgeland, Mississippi. You can contact this provider via phone number 6019564007 and fax number 6019562901. The mailing address for Matthew Lane Fairburn is 865 South Pear Orchard Road, Ridgeland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Lane Fairburn |
|---|---|
| Address | 865 South Pear Orchard Road, Ridgeland, Mississippi |
| Phone Number | 6019564007 |
| Fax Number | 6019562901 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1689764722 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-18 |
Provider Mailing Address Detail
| Address | 865 South Pear Orchard Road |
|---|---|
| City | Ridgeland |
| State | Mississippi (MS) |
| Post Code | 39157 |
| Phone Number | 6019564007 |
| Fax Number | 6019562901 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3292-04 |
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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. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Matthew Lane Fairburn?
The Matthew Lane Fairburn has been issued the NPI (National Provider Identifier) 1689764722 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Matthew Lane Fairburn's facilities are geographically located?
The facilities of Matthew Lane Fairburn are physically situated at the following location: 865 South Pear Orchard Road, Ridgeland, MS, 39157.
What is the Matthew Lane Fairburn's specialty and taxonomy code?
The Matthew Lane Fairburn's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689764722 to Matthew Lane Fairburn?
The Centers for Medicare & Medicaid Services originally issued the 1689764722 to Matthew Lane Fairburn on 2006-10-12.
When was the information regarding Matthew Lane Fairburn most recently updated?
The details pertaining to the Matthew Lane Fairburn, including its address, specialty, and other relevant information, were last refreshed on 2007-07-18.