DR STEPHEN D FISHER DDS PC NPI 1164591160

NPI Information

  • NPI: 1164591160
  • Provider Name: DR STEPHEN D FISHER DDS PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 1 RIVERVIEW DRIVE
    POTSDAM, NY
    ZIP 13676
  • Phone: (315) 265-2896

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NPI Details

DR STEPHEN D FISHER DDS PC is an oral and maxillofacial surgery dentist in Potsdam, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR STEPHEN D FISHER DDS PC NPI is 1164591160. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 RIVERVIEW DRIVE
POTSDAM, NY
ZIP 13676-090
Phone: (315) 265-2896
Fax: (315) 265-1035

The provider's authorized official is Stephen D Fisher .
The authorized official title is President and has the following contact phone number (315) 265-2896.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery32526NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100647874MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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