Provider Demographics
NPI:1790520203
Name:BRITTANY FISCHER, D.D.S, INC.
Entity type:Organization
Organization Name:BRITTANY FISCHER, D.D.S, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:HAZARD
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:760-230-5665
Mailing Address - Street 1:285 N EL CAMINO REAL STE 217
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5385
Mailing Address - Country:US
Mailing Address - Phone:760-230-5665
Mailing Address - Fax:760-230-5445
Practice Address - Street 1:285 N EL CAMINO REAL STE 217
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5385
Practice Address - Country:US
Practice Address - Phone:760-230-5665
Practice Address - Fax:760-230-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty