Individual
DR. TODD ALAN FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
17 OFFICE PARK DR, JACKSONVILLE, NC 28546-3219
(910) 353-5234
(910) 353-1999
Mailing address
17 OFFICE PARK DR, JACKSONVILLE, NC 28546-3219
(910) 353-5234
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992728
—
NC
01
—
92728
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
09/11/2006
Last updated
12/31/2020
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