Active NPIIndividual provider

Dr. Suzanne A Fisher, DDS

Dentist, General Practice in South Lyon, Michigan

NPI Number1972733038
Practice location
25660 Pontiac Trl, South Lyon, MI 48178-8046
Fax
—
Last updated
November 19, 2021

Suzanne Amanda Fisher is a Dentist, General Practice based in South Lyon, MI. Suzanne Amanda Fisher practices in South Lyon, MI and has the professional credentials of DDS. The NPI Number for Suzanne Amanda Fisher is 1972733038 and holds a License No. 2901022300 (MI). The current practice location address for Suzanne Amanda Fisher is 25660 Pontiac Trl, South Lyon, MI 48178-8046 and can be reached out via phone at 248-446-2700.

Provider Profile Details

NPI Number
1972733038
Provider Name
Suzanne Amanda Fisher
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
25660 Pontiac Trl, South Lyon, MI 48178-8046
Phone Number
248-446-2700
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2009
Last Update Date
November 19, 2021
Certification Date
November 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
25660 Pontiac Trl
South Lyon, MI 48178-8046
Zip
48178-8046
Phone Number
248-446-2700
South Lyon, MI 48178Get directions →

Provider Business Mailing Address Details

Address
210 Andover St
Peabody, MA 01960-1647
City
Peabody
State
MA
Zip
01960-1647

License Information

License Number (1)
2901022300
License State (1)
MI
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
DN1855094
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Suzanne A Fisher, DDS?

The NPI number of Dr. Suzanne A Fisher, DDS is 1972733038. It was assigned on July 22, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Suzanne A Fisher, DDS?

Dr. Suzanne A Fisher, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MI under license number 2901022300.

Where does Dr. Suzanne A Fisher, DDS practice?

The practice location is 25660 Pontiac Trl, South Lyon, MI 48178-8046. The office can be reached at 248-446-2700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972733038 directly on the NPPES registry website.

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