Individual
AMY -JO FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
406 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(336) 993-7645
(336) 993-4505
Mailing address
406 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(336) 993-7645
(336) 993-4505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5538
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998880
—
NC
01
—
98880
BCBS PROVIDER NUMBER
NC
Enumeration date
04/26/2007
Last updated
01/20/2011
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