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

Jeremy L Fairbourn DDS, PLLC

Organization General Practice Dentistry · NPI 1396081576

Jeremy L Fairbourn DDS, PLLC is a General Practice Dentistry in Shelbyville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.

Licensed in
KY
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

207 Alpine Dr
Shelbyville, KY 40065-8881
Phone: (502) 633-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9270 (KY)

Record details

NPI number1396081576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Fairbourn — Member · (502) 633-3900
NPI enumeratedDecember 17, 2012
Last updated in NPPESDecember 17, 2012
Mailing address207 Alpine Dr, Shelbyville, KY 40065-8881

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