Individual
DR. CLIFFORD FISCUS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 E KINGSTON AVE APT 1117, CHARLOTTE, NC 28203-3602
(704) 658-6787
Mailing address
124 E KINGSTON AVE APT 1117, CHARLOTTE, NC 28203-3602
(704) 658-6787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14769
NC
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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