Fisher Dental Center | |
11634 W Florissant Avenue St Louis MO 63033 | |
(314) 837-9777 | |
(314) 837-9778 |
Full Name | Fisher Dental Center |
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Speciality | Dental Assistant |
Location | 11634 W Florissant Avenue, St Louis, Missouri |
Authorized Official Name and Position | Ollie Christopher Fisher (PRESIDENT) |
Authorized Official Contact | 3748379777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fisher Dental Center 11634 W Florissant Avenue St Louis MO 63033 Ph: (314) 837-9777 | Fisher Dental Center 11634 W Florissant Avenue St Louis MO 63033 Ph: (314) 837-9777 |
NPI Number | 1538275037 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538275037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12781 (Missouri) | Primary |
124Q00000X | Dental Hygienist | (* (Not Available)) | Primary |
126800000X | Dental Assistant | (* (Not Available)) | Primary |
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