Reynolds J. Fischbach II, D.D.S., P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

5017 Issued in MN

Legal business name

REYNOLDS J. FISCHBACH II, D.D.S., P.A.

Practice address

483 Brimhall St
Saint Paul, MN 55116-1508

Phone

(651) 698-0848

Fax

(651) 698-0091

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Reynolds J Fischbach II, D.D.S.

Title

President

Phone

(651) 698-0848

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730248667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 BRIMHALL ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161508",
            "telephone_number": "651-698-0848",
            "fax_number": "651-698-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 BRIMHALL ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161508",
            "telephone_number": "651-698-0848",
            "fax_number": "651-698-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS J. FISCHBACH II, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISCHBACH",
        "authorized_official_first_name": "REYNOLDS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-698-0848",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dentist in Minnesota

• 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.