| Douglas Fisher Dmd Pc | |
|
3 Canterbury Dr Hauppauge NY 11788-3315 | |
| (631) 265-0606 | |
| (631) 265-6275 |
| Full Name | Douglas Fisher Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 3 Canterbury Dr, Hauppauge, New York |
| Authorized Official Name and Position | Douglas M Fisher (PRESIDENT) |
| Authorized Official Contact | 6312650606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Fisher Dmd Pc 3 Canterbury Dr Hauppauge NY 11788-3315 Ph: (631) 265-0606 | Douglas Fisher Dmd Pc 3 Canterbury Dr Hauppauge NY 11788-3315 Ph: (631) 265-0606 |
| NPI Number | 1255441259 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255441259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 035106 (New York) | Primary |
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