Provider Demographics
NPI:1558081208
Name:DR. DONALD T. FISCHER, D.D.S.
Entity Type:Organization
Organization Name:DR. DONALD T. FISCHER, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:T
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-831-3370
Mailing Address - Street 1:124 N INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46158-1503
Mailing Address - Country:US
Mailing Address - Phone:317-831-3370
Mailing Address - Fax:317-834-6704
Practice Address - Street 1:124 N INDIANA ST
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1503
Practice Address - Country:US
Practice Address - Phone:317-831-3370
Practice Address - Fax:317-834-6704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental