Individual
DR. KEVIN MICHAEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 5TH AVE W, SPRINGFIELD, TN 37172-2415
(615) 384-2659
(615) 384-0672
Mailing address
201 5TH AVE W, SPRINGFIELD, TN 37172-2415
(615) 384-2659
(615) 384-0672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8104
TN
Other
Enumeration date
10/24/2005
Last updated
01/21/2013
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