National Provider Identifier

John Gary Fisher, DMD

John Gary Fisher, DMD is listed in the NPPES registry with a primary specialty of Periodontics in Hamburg, NY and a listed phone number of (716) 646-1112.

NPI 1013108943Hamburg, NYPeriodontics

Profile Overview

NPI
1013108943
Provider Type
Individual
Primary Specialty
Periodontics
Enumeration Date
August 06, 2007
Last Updated
August 06, 2007

Practice Location

  • 3040 Amsdell RD
  • Hamburg, NY 14075-5835

Phone: (716) 646-1112

Specialties

  • Periodontics (1223P0300X)
Full Record
NPI
1013108943
Entity Type
Individual
Last Name
Fisher
First Name
John
Middle Name
Gary
Name Prefix
Dr.
Credential
DMD
Mailing Street Address
3040 Amsdell RD
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-5835
Mailing Country
US
Mailing Phone
(716) 646-1112
Mailing Fax
(716) 649-2442
Practice Street Address
3040 Amsdell RD
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-5835
Practice Country
US
Practice Phone
(716) 646-1112
Practice Fax
(716) 649-2442
Enumeration Date
August 06, 2007
Last Updated
August 06, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Periodontics (1223P0300X)