Philip Ray Fisher, DMD, PLLC | |
103 Haywood Park Dr, Clyde, NC 28721-4405 | |
(828) 627-1050 | |
(828) 627-1056 |
Full Name | Philip Ray Fisher |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 103 Haywood Park Dr, Clyde, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851313027 | NPI | - | NPPES |
0149121 | Other | TN | BCBS |
615188 | Other | PA | UNITED CONCORDIA |
810-20124 | Other | AL | BCBS |
92724 | Other | NC | BCBS |
7102NC | Other | MI | BCBS |
8992724 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5807 (North Carolina) | Primary |
Entity Name | Bodnar & Wyatt, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023037264 PECOS PAC ID: 1850608472 Enrollment ID: O20150915001614 |
Mailing Address | Practice Location Address |
---|---|
Philip Ray Fisher, DMD, PLLC 124 Glendale Dr, Waynesville, NC 28786-4736 Ph: (828) 452-3963 | Philip Ray Fisher, DMD, PLLC 103 Haywood Park Dr, Clyde, NC 28721-4405 Ph: (828) 627-1050 |
Dr. Shawn Robert Kennedy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 59 Haywood Park Dr, Clyde, NC 28721 Phone: 828-627-1999 Fax: 828-627-1998 | |
Dr. Kerry P Cogburn, D.D.S. P.A. Dentist Medicare: Not Enrolled in Medicare Practice Location: 418 Jones Cove Rd, Clyde, NC 28721 Phone: 828-627-9285 Fax: 828-627-9287 | |
Dr. Brandon R Wyatt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 Haywood Park Dr, Clyde, NC 28721 Phone: 828-627-1050 Fax: 828-627-1056 | |
Darryl D Nabors, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 40 Nelson Street, Clyde, NC 28721 Phone: 828-627-1800 | |
John Marshall Highsmith, DDS DICOI AAACD Dentist Medicare: Not Enrolled in Medicare Practice Location: 78 Nelson Street, Clyde, NC 28721 Phone: 828-627-9282 Fax: 828-627-1702 | |
Jason Bodnar, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 Haywood Park Dr, Clyde, NC 28721 Phone: 828-627-1050 Fax: 828-627-1056 |