National Provider Identifier Database

FAIRFAX DENTAL OFFICE PLLC
Student Health


Contact Information

FAIRFAX DENTAL OFFICE PLLC
158 N 2ND ST
FAIRFAX, OK74637
Phone: 918-642-3400
Fax:
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X
Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for FAIRFAX DENTAL OFFICE PLLC

NPI Number 1992536478
Legal business name
LBN
FAIRFAX DENTAL OFFICE PLLC
Authorized official ZANE MILLS - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 08/08/2024
Last updated 11/26/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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