Stephen Carl Fisher in Clarksville - Dentist

Stephen Carl Fisher - NPI 1174631097

Stephen Carl Fisher is a Dentist in Clarksville, Arkansas. Stephen Carl Fisher practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen Carl Fisher is 1174631097. The last update date is 2007-07-08.

Stephen Carl Fisher's current location address is 1101 Poplar St, Clarksville, Arkansas. You can contact this provider via phone number 4797543357 and fax number 4797540167. The mailing address for Stephen Carl Fisher is 1101 Poplar St, Clarksville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Carl Fisher
Address 1101 Poplar St, Clarksville, Arkansas
Phone Number 4797543357
Fax Number 4797540167
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1174631097
Provider Enumeration Date 2006-08-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1101 Poplar St
City Clarksville
State Arkansas (AR)
Post Code 72830
Phone Number 4797543357
Fax Number 4797540167

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No AR2468
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
58513 AR BCBS
115817 AR UCCI

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FAQs about Stephen Carl Fisher

What is the Stephen Carl Fisher's unique identification number?

The Stephen Carl Fisher has been assigned the NPI (National Provider Identifier) Number 1174631097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Stephen Carl Fisher is located?

The Stephen Carl Fisher is situated at the following address: 1101 Poplar St, Clarksville, AR, 72830.

What is Stephen Carl Fisher's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stephen Carl Fisher is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Stephen Carl Fisher receive its 1174631097 assignment from the Centers for Medicare & Medicaid Services?

The Stephen Carl Fisher was assigned its 1174631097 by the Centers for Medicare & Medicaid Services on 2006-08-29.

When was the Stephen Carl Fisher's information last updated?

The Stephen Carl Fisher's information was last updated on 2007-07-08.

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