Dr. Stephen C. Fisher LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

DR. STEPHEN C. FISHER LLC

Practice address

1359 E Main St
Clarksville, AR 72830-9554

Phone

(479) 744-6900

NPI assigned

Jun 30, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen C Fisher, DDSNPI 1174631097

Title

Sole MBR

Phone

(479) 518-5111

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Carl Fisher, DDS

  • Dentist
  • Clarksville, AR
  • NPI 1174631097
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1174044952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "479-498-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 E MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728309554",
            "telephone_number": "479-744-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHEN C. FISHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "479-518-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery Dodge
• Sasha Renae Domerese, NP-C
• Donald L. Baker
• Ashley Graham Donaldson
• Nicholle Dorn, LCSW
• Joseph David Dunaway, D.O.
• John C Dunham, M.D.
• Katie Elizabeth Dunkel, APN
• Staci Yvonne Duvall, M.ED., LPC
• Benjamin Eakin, RECOVERY ASSISTANT

• Oral and Maxillofacial Surgery Clinic/Center in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.