Individual
DR. STEVAN CRAIG FAIRBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
651 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 556-2323
(205) 556-2341
Mailing address
651 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 556-2323
(205) 556-2341
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5144 (DENTAL)
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
5144
AL
Other
Enumeration date
05/26/2006
Last updated
01/27/2016
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