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Organization
J. DAVID FISHER, JR., DDS, PA
Active
Organization
J. DAVID FISHER, JR., DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. DAVID FISHER JR. D.D.S. (DENTIST)
(919) 776-0741
Entity
Organization
Contact information
Practice address
1808 DOCTOR'S DR., SANFORD, NC 27330
(919) 776-0741
(919) 774-6443
Mailing address
1808 DOCTOR'S DR., SANFORD, NC 27330
(919) 776-0741
(919) 774-6443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3994
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235997
TRIGON ID #
NC
01
—
400044
UNITED CONCORDIA
NC
05
—
8992718
—
NC
01
—
92718
BCBS ID #
NC
Enumeration date
07/13/2006
Last updated
06/19/2013
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