Provider Demographics
NPI:1821192311
Name:FISCHER, JAMES ANTONY (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ANTONY
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 1:2156 MEANDER RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-4661
Mailing Address - Country:US
Mailing Address - Phone:970-227-6870
Mailing Address - Fax:
Practice Address - Street 1:1331 E PROSPECT RD UNIT B2
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1367
Practice Address - Country:US
Practice Address - Phone:970-482-6333
Practice Address - Fax:970-482-2259
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO77751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice