Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant A. Fairbanks, MD PC

Organization Plastic Surgery Physician · NPI 1891008777

Grant A. Fairbanks, MD PC is a Plastic Surgery Physician in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2010.

Licensed in
UT
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 Medical Dr Ste 210
Bountiful, UT 84010-4968
Phone: (801) 268-8838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 2744901205 (UT)

Record details

NPI number1891008777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Fairbanks — Provider · (801) 701-8688
NPI enumeratedJuly 20, 2010
Last updated in NPPESNovember 20, 2015
Mailing addressPo Box 1071, Bountiful, UT 84011-1071

Other providers in Bountiful