Individual
DR. MARCUS A FAIRBANKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3628 MERIDIAN ST, SUITE 1B, BELLINGHAM, WA 98225-1735
(360) 676-9050
(360) 676-1593
Mailing address
3628 MERIDIAN ST, SUITE 1B, BELLINGHAM, WA 98225-1735
(360) 676-9050
(360) 676-1593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5555008
—
WA
01
—
DE00005114
HEALTH PROF QUALITTY ASSU
WA
Enumeration date
06/05/2006
Last updated
03/07/2023
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