| Gary Fisher, D.d.d., P.c. | |
|
1203 E 33rd St Suite 100 Tulsa OK 74105-2040 | |
| (918) 744-1555 | |
| (918) 744-1545 |
| Full Name | Gary Fisher, D.d.d., P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1203 E 33rd St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Gary Wallace Fisher (OWNER) |
| Authorized Official Contact | 9187441555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Fisher, D.d.d., P.c. 1203 E 33rd St Ste 100 Tulsa OK 74105-2013 Ph: (918) 744-1555 | Gary Fisher, D.d.d., P.c. 1203 E 33rd St Suite 100 Tulsa OK 74105-2040 Ph: (918) 744-1555 |
| NPI Number | 1790907343 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790907343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4229 (Oklahoma) | Primary |
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