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 provides Plastic Surgery Physician services 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 Not confirmed with CMS for 10 years — call before visiting
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