IndividualActive
Dennis Fairbourn, DMD
NPI 1730362930 · Dentist · Represa, CA
Dennis Fairbourn, DMD is a Dentist provider in Represa, CA (NPI 1730362930).
Provider details
- NPI number
- 1730362930
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 24664 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Prison Road
California State Prison Sacramento
Represa, CA 95671
Phone: (910) 985-8610
Fax: (916) 294-3066
Approximate (ZIP-level) locationGet directions
Mailing address
100 Prison Road
Represa, CA 95671
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2007-12-11
Frequently asked questions
- What is Dennis Fairbourn's NPI number?
- Dennis Fairbourn's National Provider Identifier (NPI) is 1730362930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dennis Fairbourn's specialty?
- Dennis Fairbourn is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Dennis Fairbourn located?
- Dennis Fairbourn's practice location on file with NPPES is 100 Prison Road, Represa, CA 95671.
- What is Dennis Fairbourn's phone number?
- The practice phone number listed in the NPPES registry for Dennis Fairbourn is (910) 985-8610.
- Is Dennis Fairbourn's NPI active?
- Yes — Dennis Fairbourn's NPI (1730362930) is active in the NPPES registry as of the last update on 2007-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.