Organization
FISCHER, RICHARDS & WALKER, PA
Active
Other names
Coastal Carolina Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ALAN FISCHER DMD MS (PRESIDENT OF CORPORATION)
(910) 353-5234
Entity
Organization
Contact information
Practice address
17 OFFICE PARK DR, JACKSONVILLE, NC 28546-3219
(910) 353-5234
(910) 353-1999
Mailing address
17 OFFICE PARK DR, JACKSONVILLE, NC 28546-3219
(910) 353-5234
(910) 353-1999
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0237A
BLUE CROSS BLUE SHIELD OF NC
NC
01
—
02986
BLUE CROSS BLUE SHIELD NC
NC
01
—
526060MOREHEADCITY
UNITED CONCORDIA
—
01
—
863135JACKSONVILLE
UNITED CONCORDIA
—
05
—
890237A
—
NC
05
—
8902986
—
NC
Enumeration date
10/12/2006
Last updated
09/18/2023
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