Individual provider · Type 1 NPI

Jack Coleman Fisher, D.M.D

Orthodontics and Dentofacial Orthopedics Dentistry · Cordova, TN

NPI number 1609948363 Active

Practice location

8295 Cordova Rd, Suite 101
Cordova, TN 38016-2045

Fax (901) 433-9170

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	4275 (TN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1609948363

Jack Coleman Fisher, D.M.D's National Provider Identifier is 1609948363, issued on Nov 15, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Cordova, TN. The record was last updated on Mar 15, 2012.