Charles R Clifford Jr, DDS-Wayne E Fischer, DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

11942 Issued in MO

Legal business name

CHARLES R CLIFFORD JR, DDS-WAYNE E FISCHER, DDS INC

Practice address

3004 Sutton Blvd
Saint Louis, MO 63143-3016

Phone

(314) 645-0396

Fax

(314) 645-6163

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wayne E Fischer, D.D.SNPI 1760564520

Title

Dentist

Phone

(314) 645-0396

Specialties & licenses 1

Addresses

Other names 1

• M-RH Family Dentistry Doing business as

Locations

Practitioners 1

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

• Wayne E Fischer, D.D.S.

  • Dentist
  • Saint Louis, MO
  • NPI 1760564520
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598827073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 SUTTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631433016",
            "telephone_number": "314-645-0396",
            "fax_number": "314-645-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 SUTTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631433016",
            "telephone_number": "314-645-0396",
            "fax_number": "314-645-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R CLIFFORD JR, DDS-WAYNE E FISCHER, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-645-0396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "11942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M-RH Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Charap, MD
• Edward Charbek, MD
• Mina Charepoo, MD
• Charla Deiter
• Charles E. Niesen II, DMD, Michael J. Faddis, DDS
• Austin James Charles, AGNP
• Brigette Charles, LPC
• Claudia Charles, M.A., L.C.S.W.
• Eden Charles, MD
• Joel Claude Charles

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• 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.