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

Dr. James Leo Fairbanks, DMD

Individual provider Dentist · NPI 1356629059

Dr. James Leo Fairbanks, DMD is a Dentist in Fort Leonard Wood, Missouri. Licensed in Kansas, Missouri, Pennsylvania and Utah. Registered with an NPI since 2011.

Licensed in
KS, MO, PA, UT
In the registry since
2011
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-0417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2021026049 (MO)
Dentist Taxonomy 122300000X · Licence 8385285-9922 (UT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 61351 (KS)
General Practice Dentistry Taxonomy 1223G0001X · Licence DS040267 (PA)

Record details

NPI number1356629059
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 28, 2011
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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