Organization
FAIRBURY DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GRANT DDS (OWNER)
(402) 729-6177
Entity
Organization
Contact information
Practice address
416 4TH ST, FAIRBURY, NE 68352-2514
(402) 729-6177
Mailing address
416 4TH ST, FAIRBURY, NE 68352-2514
(402) 729-6177
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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