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

Grant R Fairbanks MD PC

Organization Plastic Surgery Physician · NPI 1578699039

Grant R Fairbanks MD PC is a Plastic Surgery Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
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

1151 E 3900 S Ste B110
Salt Lake City, UT 84124
Phone: (801) 268-8838
Fax: (801) 268-8264
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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 1487731205 (UT)

Record details

NPI number1578699039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Fairbanks — Medical Doctor · (801) 268-8838
NPI enumeratedFebruary 26, 2007
Last updated in NPPESAugust 13, 2008
Mailing address1151 East 3900 South, Suite B110, Salt Lake City, UT 84124

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