Provider Demographics
NPI:1477336915
Name:FISCHER, AUGUSTUS WILLIAM (DDS)
Entity Type:Individual
Prefix:
First Name:AUGUSTUS
Middle Name:WILLIAM
Last Name:FISCHER
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 1:5727 HEIRLOOM DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0681
Mailing Address - Country:US
Mailing Address - Phone:615-691-0395
Mailing Address - Fax:
Practice Address - Street 1:403 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-4315
Practice Address - Country:US
Practice Address - Phone:931-363-1388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12313122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist