Ross H Fishman, DMD, Ms, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN 16716 Issued in FL

Legal business name

ROSS H FISHMAN, DMD, MS, PA

Practice address

552 Jacksonville Dr
Jacksonville Beach, FL 32250-3813

Phone

(904) 247-4097

Fax

(904) 247-8495

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ross Fishman, D.M.D.

Title

President

Phone

(904) 477-0282

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• William L Love, DDS PA

  • Dentist
  • Jacksonville Beach, FL
  • NPI 1285790634
  NPD (past)

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1740534361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 JACKSONVILLE DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503813",
            "telephone_number": "904-247-4097",
            "fax_number": "904-247-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 JACKSONVILLE DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503813",
            "telephone_number": "904-247-4097",
            "fax_number": "904-247-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS H FISHMAN, DMD, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-477-0282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 16716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald E Bobus Acsw LMFT & Associates PA
• Jillian Rosario, AGACNP-BC
• Justin Andrew Rose, D.O.
• Katherine Rose
• Jennifer Brooke Rosenblum, APRN
• Jenifer M Ross, RD
• Roy F. and Tracey B. David, DMD PA
• Julie Stephenson Royal, OTR
• Anne Rudolph, COA LL
• Kayli Rushing

• Dental Clinic/Center in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.