# BRADFORD B. FISHER DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1891122776
- **Authorized official:** DR. BRADFORD B FISHER DDS (OWNER)
- **Authorized official phone:** (208) 442-0000

## Contact information

- **Practice address:** 207 7TH AVE S, NAMPA, ID 83651-3846
- **Practice address phone:** (208) 442-0000
- **Practice address fax:** (208) 466-9853
- **Mailing address:** 207 7TH AVE S, NAMPA, ID 83651-3846
- **Mailing address phone:** (208) 442-0000
- **Mailing address fax:** (208) 466-9853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D1705 | ID | Yes |

## Other

- **Enumeration date:** 10/09/2013
- **Last updated:** 10/09/2013