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General NPI Number Information
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NPI Number | 1245370451
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Entity Type | Organization
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Legal Business Name | DAVID M. FISHER, JR, DDS, PA
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 3131 BATTLEGROUND AVE
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City | GREENSBORO
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State | NC
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Zip | 27408-2631
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Country | US
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Telephone | 336-288-1242
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Fax | 336-288-2860
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Provider Business Mailing Address
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Address Line | 3131 BATTLEGROUND AVE
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City | GREENSBORO
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State | NC
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Zip | 27408-2631
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Country | US
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Telephone | 336-288-1242
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Fax | 336-288-2860
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DAVID M FISHER JR.
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Credential | DDS
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Telephone | 336-288-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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