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Individual

DR. JOHN DAVID FISHER JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1808 DOCTORS DR, SANFORD, NC 27330-5057
(919) 776-0741
(919) 774-6443
Mailing address
1808 DOCTORS DR, SANFORD, NC 27330-5057
(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 IDENTIFICATION #
NC
01
400044
UNITED CONCORDIA #
NC
05
8992718
NC
01
92718
BCBS OF NC PROVIDER #
NC
Enumeration date
04/26/2006
Last updated
07/08/2007
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