Fisher Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12781 Issued in MO

Legal business name

FISHER DENTAL CENTER

Practice address

11634 W Florissant Ave
Florissant, MO 63033-6723

Phone

(314) 837-9777

Fax

(314) 837-9778

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ollie Christopher Fisher, DMD

Title

Owner

Phone

(314) 837-9777

Specialties & licenses 1

Addresses

Tax ID family

Fisher Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fisher Dental Center

  • Dental Assistant
  • St Louis, MO
  • NPI 1538275037
  NPD tax ID

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992889166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11634 W FLORISSANT AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336723",
            "telephone_number": "314-837-9777",
            "fax_number": "314-837-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11634 W FLORISSANT AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336723",
            "telephone_number": "314-837-9777",
            "fax_number": "314-837-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "OLLIE",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-837-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin K Field, OT
• Christine Esther Fields, CRNA
• Patrice Michelle Finnie, RN
• Molly Ann Finucane, OTR/L
• First Class Home Healthcare Services LLC
• Kaylen Emily Fisher
• Ollie Christopher Fisher, DMD
• Perdita Jay Fisher, DMD
• Five Star Rehabilitation and Wellness Services, LLC.
• Nicole Fix-Miller, BCBA, LBA

• General Practice Dentistry in Florissant, MO
• Providers in Florissant, MO by specialty
• General Practice Dentistry 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.