# DR. GERALD L. FAIRCHILD, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396046942
- **Authorized official:** GERALD FAIRCHILD DMD (OWNER)
- **Authorized official phone:** (606) 780-0375

## Contact information

- **Practice address:** 276 KROGER CTR, MOREHEAD, KY 40351-8894
- **Practice address phone:** (606) 780-0375
- **Practice address fax:** (606) 784-1162
- **Mailing address:** 276 KROGER CTR, MOREHEAD, KY 40351-8894
- **Mailing address phone:** (606) 780-0375
- **Mailing address fax:** (606) 784-1162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2010
- **Last updated:** 12/03/2012