| Dr. Brooks K Fiser, Dds Pa | |
|
9000 Rogers Ave Fort Smith AR 72903-5249 | |
| (479) 459-3310 | |
| Not Available |
| Full Name | Dr. Brooks K Fiser, Dds Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 9000 Rogers Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | Brooks K Fiser (OWNER/OPERATOR) |
| Authorized Official Contact | 4794593310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Brooks K Fiser, Dds Pa 9000 Rogers Ave Fort Smith AR 72903-5249 Ph: (479) 459-3310 | Dr. Brooks K Fiser, Dds Pa 9000 Rogers Ave Fort Smith AR 72903-5249 Ph: (479) 459-3310 |
| NPI Number | 1457957813 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 12/09/2020 |
| Medicare PECOS PAC ID | 0345652301 |
|---|---|
| Medicare Enrollment ID | O20201215003062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457957813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Brooks K Fiser |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447664347 PECOS PAC ID: 7416267281 Enrollment ID: I20201216000611 |
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