# CHARLES & KATHERINE FISCHER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033122981
- **Authorized official:** DR. KATHERINE BURAN FISCHER DDS (PRESIDENT CO OWNER)
- **Authorized official phone:** (703) 818-1500

## Contact information

- **Practice address:** 5895 TRINITY PARKWAY, SUITE 200, CENTREVILLE, VA 20120
- **Practice address phone:** (703) 818-1500
- **Practice address fax:** (703) 502-9580
- **Mailing address:** 5895 TRINITY PARKWAY, SUITE 200, CENTREVILLE, VA 20120
- **Mailing address phone:** (703) 818-1500
- **Mailing address fax:** (703) 502-9580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401006780 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401006784 | VA | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 02/04/2013
