Most Relevant Information
Provider Data
| NPI Number: | 1003021734 |
| Provider Name: | GERALD LEWIS FISHER D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DS023657L |
Most Important Dates
| Enumeration Date: | 05/14/2007 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
2690 WILLIAM PENN AVE
SUITE 3
JOHNSTOWN
PA
159091029
Practice Location Phone/Fax
| Phone: | 8143223239 |
| Fax: | 8143223459 |
Provider Mailing Location
2690 WILLIAM PENN AVE
SUITE 3
JOHNSTOWN
PA
159091029
Provider Mailing Phone/Fax
| Phone: | 8143223239 |
| Fax: | 8143223459 |