# FISHER DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fisher Distinctive Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467690990
- **Authorized official:** MRS. SANDRA LOREEN ARPS (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (360) 876-0445

## Contact information

- **Practice address:** 2021 SE SEDGWICK RD, SUITE \#3, PORT ORCHARD, WA 98366-9502
- **Practice address phone:** (360) 876-0445
- **Practice address fax:** (360) 876-0447
- **Mailing address:** PO BOX 818, PORT ORCHARD, WA 98366-0818
- **Mailing address phone:** (360) 876-0445
- **Mailing address fax:** (360) 876-0447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 00006120 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE 60041592 | WA | — |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 01/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 802581 | UNITED CONCORDIA INS. CO. | WA |