| Janet S Fisher Dmd Pa | |
|
1212 Mission 66 Vicksburg MS 39183 | |
| (601) 636-5321 | |
| (601) 883-2366 |
| Full Name | Janet S Fisher Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 1212 Mission 66, Vicksburg, Mississippi |
| Authorized Official Name and Position | Janet S Fisher (PRESIDENT) |
| Authorized Official Contact | 6016365321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janet S Fisher Dmd Pa 1212 Mission 66 Vicksburg MS 39183 Ph: (601) 636-5321 | Janet S Fisher Dmd Pa 1212 Mission 66 Vicksburg MS 39183 Ph: (601) 636-5321 |
| NPI Number | 1023117991 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023117991 | NPI | - | NPPES |
| 01325817 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 261491 (Mississippi) | Primary |
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