NPI 1689620155

Stevan Craig Fairburn, MDDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Tuscaloosa, AL

Practice location

Address: 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983
Phone: (205) 556-2323
Fax: (205) 556-2341

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 5144 (AL)

Other Oral & Maxillofacial Surgery providers in Alabama →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 5144 (DENTAL) (AL)

Other Dentist providers in Alabama →

Registry record

NPI: 1689620155
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2006
Record last updated: 27 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.