Provider Demographics
NPI:1861677999
Name:JOHN W FISCHER DDS MS ORTHODONTICS INC
Entity Type:Organization
Organization Name:JOHN W FISCHER DDS MS ORTHODONTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:513-661-2222
Mailing Address - Street 1:3012 GLENMORE AVENUE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CINCINATTI
Mailing Address - State:OH
Mailing Address - Zip Code:45238
Mailing Address - Country:US
Mailing Address - Phone:513-661-2222
Mailing Address - Fax:513-661-2222
Practice Address - Street 1:3012 GLENMORE AVENUE
Practice Address - Street 2:SUITE 207
Practice Address - City:CINCINATTI
Practice Address - State:OH
Practice Address - Zip Code:45238
Practice Address - Country:US
Practice Address - Phone:513-661-2222
Practice Address - Fax:513-661-2222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH126711223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty