Healthcare Provider Details

I. General information

NPI: 1295704344
Provider Name (Legal Business Name): THOMAS E FISHER DDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3983 N POINTE DR SUITE 1
ZANESVILLE OH
43701-7361
US

IV. Provider business mailing address

PO BOX 8047
ZANESVILLE OH
43702-8047
US

V. Phone/Fax

Practice location:
  • Phone: 740-588-9000
  • Fax: 740-588-9889
Mailing address:
  • Phone: 740-588-9000
  • Fax: 740-588-9889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number30020613
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number35079106
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: