NPIMap

Organization Active NPI

Bruce Fisher DDS

Doing business as Plymouth Family Dentistry PLLC

  • General Practice Dentistry
  • Plymouth, MI
National Provider Identifier
1720604325
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRUCE FISHER DDS
Doing business as
Plymouth Family Dentistry PLLC
Practice address
45270 Joy Rd
Plymouth, MI 48170-3941
Phone
(734) 453-9250
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Dr. Bruce Fisher, DDSNPI 1790838381
Title
Owner
Phone
(734) 453-9250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

45270 Joy Rd
Plymouth, MI 48170-3941

Mailing address

45270 Joy Rd
Plymouth, MI 48170-3941
Phone (734) 453-9250

Other names 1

  • Plymouth Family Dentistry PLLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drfisher@plymdds.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1720604325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45270 JOY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703941",
            "telephone_number": "734-453-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45270 JOY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703941",
            "telephone_number": "734-453-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE FISHER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-453-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drfisher@plymdds.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45270 Joy Rd",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481703941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Plymouth Family Dentistry PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.