# FISHER JONES FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1346393444
- **Authorized official:** MICHELLE R FISHER (H.R.)
- **Authorized official phone:** (360) 943-4205

## Contact information

- **Practice address:** 2415 PACIFIC AVE SE, SUITE A, OLYMPIA, WA 98501-2065
- **Practice address phone:** (360) 943-4644
- **Practice address fax:** (360) 943-2534
- **Mailing address:** 1910 4TH AVE E PMB 256, OLYMPIA, WA 98506-4632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6001675 | WA | — |
| 1223G0001X | General Practice Dentistry | 6203 | WA | Yes |
| 1223G0001X | General Practice Dentistry | 7112 | WA | — |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 02/04/2009