Provider Demographics
NPI:1740385566
Name:FISHER DENTAL ASSOCIATES, P.A.
Entity type:Organization
Organization Name:FISHER DENTAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD,MSD
Authorized Official - Phone:561-276-4499
Mailing Address - Street 1:601 N CONGRESS AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4621
Mailing Address - Country:US
Mailing Address - Phone:561-276-4499
Mailing Address - Fax:561-276-3499
Practice Address - Street 1:601 N CONGRESS AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4621
Practice Address - Country:US
Practice Address - Phone:561-276-4499
Practice Address - Fax:561-276-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 96031223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty