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44D0895680 CLIA NUMBER - TIMOTHY M FISHER DO

Laboratory Demographics

CLIA Number: 44D0895680

Facility Name: TIMOTHY M FISHER DO

Facility Address:
140 VO TECH DRIVE SUITE 6
MC MINNVILLE, TN
ZIP 37110
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Facility Phone Number: 615 473-4441

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1366426512

Taxonomy: 1223E0200X - Dentist
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

CLIA Record

Field Name Field Value
CLIA Number 44D0895680
LAB Type Physician Office
Facility Name TIMOTHY M FISHER DO
Street 140 VO TECH DRIVE SUITE 6
City MC MINNVILLE
State TN
ZIP 37110
Phone 615 473-4441
CertificateType 4
CertificateEffectiveDate 7/26/2022
CertificateExpirationDate 7/25/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024