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Organization

J. DAVID FISHER, JR., DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
J. DAVID FISHER JR. D.D.S. (DENTIST)
(919) 776-0741
Entity
Organization

Contact information

Practice address
1808 DOCTOR'S DR., SANFORD, NC 27330
(919) 776-0741
(919) 774-6443
Mailing address
1808 DOCTOR'S DR., SANFORD, NC 27330
(919) 776-0741
(919) 774-6443

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3994
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
235997
TRIGON ID #
NC
01
400044
UNITED CONCORDIA
NC
05
8992718
NC
01
92718
BCBS ID #
NC
Enumeration date
07/13/2006
Last updated
06/19/2013
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