Individual provider · Type 1 NPI

Sidney Jo Fisher

Pediatric Dentistry · Lexington, KY

NPI number 1972197788 Active

Practice location

740 S Limestone A219
Lexington, KY 40536-0001

Call (859) 257-3462 Map

Fax (859) 323-2036

Mailing address

2517 Sir Barton Way Ste 200
Lexington, KY 40509-2744

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X10597 (KY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X10597 (KY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1972197788

Sidney Jo Fisher's National Provider Identifier is 1972197788, issued on Feb 22, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lexington, KY. The record was last updated on Jul 7, 2024.