Fisher, Shane A

Fisher, Shane A is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Mail Station 773-Dental Clinic, Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Fisher, Shane A can be contacted via phone (414) 266-2040.

Contact Information

Primary practice address
9000 W Wisconsin Ave Mail Station 773-Dental Clinic Milwaukee WI 53226-4874
Phone: (414) 266-2040
Fax: (414) 266-5677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 025-001997 Illinois
Dental Providers / Pediatric Dentistry 1223P0221X 5127015 Wisconsin
Dental Providers / Dentist 122300000X 019-025019 Illinois

Profile Details

NPI number 1285624171
LBN Legal business name Fisher, Shane A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 14th, 2011 - about 14 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.

Request for update

Popular Providers