Individual provider · Type 1 NPI

Kole Witt Fisher, DMD

Student in an Organized Health Care Education/Training Program · Meridian, ID

NPI number 1073305256 Active

Practice location

1311 E Central Dr
Meridian, ID 83642-7991

Call (208) 373-1855 Map

Mailing address

18319 Viceroy Ave
Nampa, ID 83687-8199

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073305256

Kole Witt Fisher, DMD's National Provider Identifier is 1073305256, issued on May 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Meridian, ID. The record was last updated on May 21, 2025.