Individual
SIDNEY JO FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 S LIMESTONE A219, LEXINGTON, KY 40536-0001
(859) 257-3462
(859) 323-2036
Mailing address
2517 SIR BARTON WAY STE 200, LEXINGTON, KY 40509-2744
(859) 543-2456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10597
KY
1223P0221X
Pediatric Dentistry
Primary
10597
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
02/22/2021
Last updated
07/07/2024
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