Organization
DR STEPHEN D FISHER DDS PC
Active
Organization
DR STEPHEN D FISHER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN D FISHER DDS (PRESIDENT)
(315) 265-2896
Entity
Organization
Contact information
Practice address
1 RIVERVIEW DRIVE, POTSDAM, NY 13676-2090
(315) 265-2896
(315) 265-1035
Mailing address
1 RIVERVIEW DRIVE, POTSDAM, NY 13676-2090
(315) 265-2896
(315) 265-1035
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
32526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00647874
—
NY
Enumeration date
11/06/2006
Last updated
08/22/2020
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