William Courtney Fisher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5955291-9923 Issued in UT

Practice address

5974 Fashion Point Dr
Suite 210
Ogden, UT 84403-4699

Phone

(801) 475-6121

Fax

(801) 475-4797

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modern Dental Professionals Ut, PC

  dba Monarch Dental - South Ogden

  • Dentist
  • South Ogden, UT
  • NPI 1265889166
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356339386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 S 500 E",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840373700",
            "telephone_number": "801-447-8555",
            "fax_number": "801-475-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 FASHION POINT DR",
            "address_2": "SUITE 210",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-475-6121",
            "fax_number": "801-475-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "WILLIAM",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1745",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5955291-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Finley
• Andrew Spencer Finneran, DO
• First Care Medical-Orthomed LLC (Excelsia Injury Care)
• First Physicians
• Brandon J Fisher, D.O.
• FJM Ogden (Onsite Care)
• Hannah Marie Flagstad, DO
• Karlee Flaig
• Brennon Flannery, PA-C
• Abigail June Flinders, RN-DNP STUDENT

• General Practice Dentistry in Ogden, UT
• Providers in Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.