Doctor Name: | DR. EDWARD S. FISHER |
NPI Number: | 1952442857 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 28938 |
Business Practice Address: | 6 Independence Ave Tappan, NY - 109831304 |
Business Phone Number: | 8453598080 |
Business Fax Number: | 8453599328 |
Mailing Address: | 7 Dorsey Court, ORANGEBURG |
State: | NY |
Postal Code: | 109621019 |
Phone Number: | 8453534994 |
Fax Number: | 8453539722 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 28938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |