Individual
MR. STEPHEN CARL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1101 POPLAR ST, CLARKSVILLE, AR 72830
(479) 754-3357
(479) 754-0167
Mailing address
1101 POPLAR ST, CLARKSVILLE, AR 72830
(479) 754-3357
(479) 754-0167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AR2468
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115817
UCCI
AR
01
—
58513
BCBS
AR
Enumeration date
08/29/2006
Last updated
07/08/2007
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