# SOUTHERN DE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bruce D Fisher, MD, DMD, Bruce D Fisher MD DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629144589
- **Authorized official:** DR. BRUCE D FISHER MD, DMD (OWNER)
- **Authorized official phone:** (302) 644-2977

## Contact information

- **Practice address:** 17605 NASSAU COMMONS BLVD STE C, LEWES, DE 19958-6284
- **Practice address phone:** (302) 644-2977
- **Practice address fax:** (302) 645-7561
- **Mailing address:** 17605 NASSAU COMMONS BLVD STE C, LEWES, DE 19958-6284
- **Mailing address phone:** (302) 644-2977
- **Mailing address fax:** (302) 645-7561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2000106563 | DE | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 06/03/2022