JEFFREY W. FISK, D.M.D, P.S.C (NPI# 1568557114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568557114 |
| Entity Type | Organization |
| Organization Name | JEFFREY W. FISK, D.M.D, P.S.C |
| Practice Address |
221 East Somerset Church Road Somerset KY 42503 |
| Practice Telephone | 6064511448 |
| Practice Fax Number | 6064518269 |
| Mailing Telephone | 6064511448 |
| Mailing Fax Number | 6064518269 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY W FISK (PRESIDENT) |
| Authorized Official Telephone | 6064511448 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7491 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 60001179 | 05 |
| Street Address |
221 EAST SOMERSET CHURCH ROAD |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588838924 | Joseph Stanley Petrey | Dentist | 224 Langdon Street, Somerset, KY 42501 | 2008-04-16 |
| 1033328745 | Karl Duane Clinard | Dentist | 23 Commercial Dr, Somerset, KY 42501-6145 | 2007-05-21 |
| 1285757948 | Richard D. Robbins | Dentist | 207 N Rosina Ave, Somerset, PA 15501-1319 | 2007-04-09 |
| 1639172612 | Robert Silverstein | Dentist | 32 Worlds Fair Dr, Suite 101, Somerset, NJ 08873-1388 | 2005-05-24 |
| 1891076683 | Joseph S.petrey Pllc | Dentist | 224 Langdon St, Somerset, KY 42501-2342 | 2011-09-07 |
| 1083894109 | Ryan N Brown | Dentist | 23 Commercial Dr, Somerset, KY 42501-6145 | 2007-11-06 |
| 1558489336 | Glenn David Goldstein | Dentist | 1527 Route 27, Suite 2200, Somerset, NJ 08873-3979 | 2007-03-27 |
| 1114069788 | Matthew Choi | Dentist | 1303 State Route 27, Somerset, NJ 08873-3456 | 2007-02-12 |
| 1669405627 | Robert Silverstein, Dmd, Ms, Pa | Dentist | 32 Worlds Fair Dr, Suite 101, Somerset, NJ 08873-1388 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089231 | Brian Barrett Glatt | Dentist | 304 Axis Dr Apt 201, Louisville, KY 40206-0169 | 2019-05-23 |
| 1669038105 | Smile Doctors of Kentucky Psc | Dentist | 1481 Cavalry Ln Ste 100, Florence, KY 41042-8428 | 2019-05-09 |
| 1942760996 | Danielle Cianciolo | Dentist | 205 Tyne Rd, Louisville, KY 40207-3443 | 2019-03-24 |
| 1033604327 | Bbb of In, LLC | Dentist | 11801 Brinley Ave Ste 100, Louisville, KY 40243-3006 | 2018-06-28 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1801399357 | Jacob Linton Sword | Dentist | 161 College St Ste 3, Pikeville, KY 41501-4786 | 2018-03-12 |
| 1073012514 | Carli Loss | Dentist | 800 Rose St Dental Science Building, Lexington, KY 40536-7001 | 2018-02-11 |
| 1548778038 | Julie J Rambo | Dentist | 620 Perimeter Dr Ste 207, Lexington, KY 40517-4125 | 2018-01-18 |
| 1992235089 | Justin A Wedding Psc | Dentist | 2816 Veach Rd Ste 301, Owensboro, KY 42303-6297 | 2017-06-12 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEFFREY W. FISK, D.M.D, P.S.C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.