Douglas Fisher DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

035106 Issued in NY

Legal business name

DOUGLAS FISHER DMD PC

Practice address

3 Canterbury Dr
Hauppauge, NY 11788-3315

Phone

(631) 265-0606

Fax

(631) 265-6275

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas M Fisher, DMDNPI 1316967508

Title

President

Phone

(631) 265-0606

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Marc Fisher, DMD

  • General Practice Dentistry
  • Hauppauge, NY
  • NPI 1316967508
  NPD (past) Authorized official
• Susan Geller Wolfe, R.D.H.

  • Dental Hygienist
  • Hauppauge, NY
  • NPI 1316058167
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255441259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CANTERBURY DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883315",
            "telephone_number": "631-265-0606",
            "fax_number": "631-265-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CANTERBURY DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883315",
            "telephone_number": "631-265-0606",
            "fax_number": "631-265-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS FISHER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-265-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Sarah Donohue, OTR/L
• Laura Donovan
• Barry Robert Donowitz, PH.D.
• Christine Anne Dorman I, N.P.
• Maria Dougherty, LBA, BCBA
• Gabriella Desiree Doumazios
• Tracy Dourdounas, N.P.
• Katherine Doyle, LCSW
• Rose Mary Doyle, RPA-C
• Dr. Beth J Cohen DC

• Dentist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.