Fisher, Gary Wallace

Fisher, Gary Wallace is an individual health care provider with primary practice located at 1203 E 33Rd St Ste 100, Tulsa OK 74105-2040. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Fisher, Gary Wallace can be contacted via phone (918) 744-1555.

Contact Information

Primary practice address
1203 E 33Rd St Ste 100 Tulsa OK 74105-2040
Fax: (918) 744-1545
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4229 Oklahoma

Profile Details

NPI number 1881688513
LBN Legal business name Fisher, Gary Wallace
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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