Individual
MICHAEL C FAIR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3360 TREMONT RD STE 100, COLUMBUS, OH 43221-2111
(614) 451-7377
Mailing address
3360 TREMONT RD STE 100, COLUMBUS, OH 43221-2111
(614) 451-7377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.022165
OH
1223G0001X
General Practice Dentistry
Primary
30022165
OH
Other
Enumeration date
06/07/2006
Last updated
05/16/2019
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