DR. JACK COLEMAN FISHER (NPI# 1609948363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609948363 |
| Entity Type | Individual |
| Full Name | DR. JACK COLEMAN FISHER |
| Other Name | JACK COLEMAN FISHER |
| Credential | D.M.D |
| Practice Address |
8295 Cordova Rd Suite 101 Cordova TN 38016-2045 |
| Practice Telephone | 9014339181 |
| Practice Fax Number | 9014339170 |
| Mailing Telephone | 9014339181 |
| Mailing Fax Number | 9014339170 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4275 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780711804 | Jack Fisher | Surgery | 310 23rd Ave N Ste 101, Nashville, TN 37203-1525 | 2007-02-27 |
| 1629072392 | Jack Elliott Fisher | Podiatrist | 8o 5th St, Gilroy, CA 95020-5748 | 2005-06-09 |
| 1962569012 | Jack Fisher | Dentist | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 2007-01-01 |
| 1922071190 | Jack Lawrence Fisher | Counselor | 1127 10th Ave E, Suite 7, Seattle, WA 98102-4377 | 2006-02-08 |
| Street Address |
8295 CORDOVA RD SUITE 101 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| 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 |
|---|---|---|---|---|
| 1760638027 | Alfred Piper | Dentist | 92 Timber Creek Dr, Cordova, TN 38018-4233 | 2008-08-18 |
| 1669599080 | David H. Crowder, D.d.s. P.C. | Dentist | 1028 N Germantown Pkwy, Cordova, TN 38018-5892 | 2007-03-22 |
| 1972662005 | Kevin Clark Utley | Dentist | 298 Germantown Bend Cv, Cordova, TN 38018-7237 | 2006-12-06 |
| 1457434680 | Christopher Harold Getman | Dentist | 1207 Macon View Dr, Suite 101, Cordova, TN 38018-0627 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523703 | Evan James Agnetta | Dentist | 6311 Kingston Pike Ste 26w, Knoxville, TN 37919-4900 | 2020-09-18 |
| 1619595618 | Allison Jerri Williams | Dentist | 801 Sunset Dr # E5, Johnson City, TN 37604-3033 | 2020-07-07 |
| 1396369054 | John Thomas Houston Iv | Dentist | 125 Cool Springs Blvd # 140, Franklin, TN 37067-6474 | 2020-05-28 |
| 1407499957 | Kevin Michael Peterson | Dentist | 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 | 2019-10-28 |
| 1306488622 | Cumberland Pediatric Dentistry and Orthodontics of Cool Springs, Pllc | Dentist | 1201 Liberty Pike, Suite 202-b, Franklin, TN 37067 | 2019-10-09 |
| 1285191767 | Mh Dmd of Tennessee, Pllc | Dentist | 2126 Abbott Martin Rd Ste 168, Nashville, TN 37215-2619 | 2019-02-21 |
| 1245713528 | Lucas Orthodontics Gallatin, Pllc | Dentist | 1710 Nashville Pike, Gallatin, TN 37066-3154 | 2018-09-12 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1902329097 | Carmen Allie Quirk | Dentist | 755 E Veterans Dr, Cookeville, TN 38501-5194 | 2017-07-20 |
| 1568996999 | Jefferson Twomley | Dentist | 1414 Jenkins Rd Ste 146, Chattanooga, TN 37421-3470 | 2017-04-12 |
| Find all providers with the same taxonomy | ||||
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| 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.