Frederick Fischer, DDS
Individual provider Active NPI Dentist · High Ridge, MO
NPI 1821484064 · NPPES record last updated Apr 14, 2015
Key facts
- NPI
- 1821484064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- MO14148 (MO)
- Practice address
- 2817 High Ridge Blvd
High Ridge, MO 63049-2205 - Phone
- (636) 677-5663
- NPI assigned
- Apr 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO14148 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick H. Fischer, D.D.S., P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | MO14148 | MO | Yes |
Addresses
Primary practice location
2817 High Ridge Blvd
High Ridge, MO 63049-2205
Mailing address
PO Box 76
High Ridge, MO 63049-0076
Phone (636) 677-5663
Other providers in High Ridge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.