| Fisher Dental Center | |
|
11634 W Florissant Avenue St Louis MO 63033 | |
| (314) 837-9777 | |
| (314) 837-9778 |
| Full Name | Fisher Dental Center |
|---|---|
| Speciality | Dental Assistant |
| Location | 11634 W Florissant Avenue, St Louis, Missouri |
| Authorized Official Name and Position | Ollie Christopher Fisher (PRESIDENT) |
| Authorized Official Contact | 3748379777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fisher Dental Center 11634 W Florissant Avenue St Louis MO 63033 Ph: (314) 837-9777 | Fisher Dental Center 11634 W Florissant Avenue St Louis MO 63033 Ph: (314) 837-9777 |
| NPI Number | 1538275037 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538275037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12781 (Missouri) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Primary |
| 126800000X | Dental Assistant | (* (Not Available)) | Primary |
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