Provider Demographics
NPI:1245411081
Name:FISHER, ARNOLD WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:WILLIAM
Last Name:FISHER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-2343
Mailing Address - Country:US
Mailing Address - Phone:201-384-3588
Mailing Address - Fax:201-384-3732
Practice Address - Street 1:109 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-2343
Practice Address - Country:US
Practice Address - Phone:201-384-3588
Practice Address - Fax:201-384-3732
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1007536001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice