Individual
DR. JOHN S FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5238 W ST JOE HWY, SUITE 2, LANSING, MI 48917-4085
(517) 323-1000
(517) 886-5566
Mailing address
5526 WHITE ASH, HASLETT, MI 48840-9799
(517) 339-7864
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901016480
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2901016480
MI
Other
Enumeration date
09/06/2006
Last updated
02/28/2019
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