Provider Demographics
NPI:1659304475
Name:FISCHER, HOWARD HENRY JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:HENRY
Last Name:FISCHER
Suffix:JR
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 1:12137 RED ADMIRAL WAY
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-5939
Mailing Address - Country:US
Mailing Address - Phone:301-528-5496
Mailing Address - Fax:
Practice Address - Street 1:FT DETRICK DENTAL CLINIC
Practice Address - Street 2:1434 PORTER STREET
Practice Address - City:FT DETRICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-619-7675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2348-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist