KEVIN JON FAIRHURST (NPI# 1093976904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093976904 |
| Entity Type | Individual |
| Full Name | KEVIN JON FAIRHURST |
| Credential | DMD |
| Practice Address |
900 10th Ave Nw Great Falls MT 59404-1747 |
| Practice Telephone | 4067611365 |
| Practice Fax Number | 4064030418 |
| Mailing Telephone | 4067611365 |
| Mailing Fax Number | 4064030418 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2010-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-4144 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MONTANA LICENCE NUMBER | 2397 | 01 |
| Street Address |
900 10TH AVE NW |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063523694 | Jerald A Yoneji | Dentist | 900 10th Ave Nw, Great Falls, MT 59404-1747 | 2006-08-31 |
| 1407384175 | Matthew James Klinker | Dentist | 900 10th Ave Nw, Great Falls, MT 59404-1747 | 2017-05-25 |
| 1275644841 | Gerald W Tuck | Dentist | 900 10th Ave Nw, Great Falls, MT 59404-1747 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023440146 | Russell Ray Jensen | Dentist | 1804 38th St South, Great Falls, MT 59405 | 2013-07-31 |
| 1871838581 | Joseph Alwan | Dentist | 30128 Merchant Ct, Great Falls, VA 22066-4219 | 2012-12-06 |
| 1114272226 | Kevin Lynn Guymon | Dentist | 1301 12th Ave S Ste 100, Great Falls, MT 59405-4600 | 2012-07-16 |
| 1992064349 | Trent C Clifton | Dentist | 2714 15 Avenue South, Great Falls, MT 59405 | 2012-05-04 |
| 1104062843 | Eugene A. Tynes D.d.s. P.C. | Dentist | 300 Park Dr S Ste 202, Great Falls, MT 59405-1819 | 2008-12-31 |
| 1255514568 | John K Stewart | Dentist | 2609 16th Ave S, Great Falls, MT 59405-5202 | 2007-12-10 |
| 1659561249 | Whitney Thompson Delaney | Dentist | 848 Constellation Dr, Great Falls, VA 22066-2503 | 2007-07-30 |
| 1477687168 | Kenneth Charles Small | Dentist | 2527 6th Ave So, Great Falls, MT 59405 | 2007-03-15 |
| 1144355827 | Frederick Lawrence Sherer | Dentist | 1125 2nd Avenue North, Suite #5, Great Falls, MT 59401 | 2007-02-22 |
| 1518020544 | Donald P Jelinek | Dentist | 52 Fisher Rd, Great Falls, MT 59405-8114 | 2006-12-19 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.