Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. CLIFFORD FISCUS III DDS
NPI 1891620456
Dentist - General Practice in Charlotte, NC

Active since June 16, 2026
124 E KINGSTON AVE APT 1117, CHARLOTTE, NC 28203(704) 658-6787 Get Directions Write a Review

NPPES record added: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clifford Fiscus Iii Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLIFFORD FISCUS III DDS (NPI 1891620456) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (14769) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1891620456
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLIFFORD FISCUS IIICredential: DDS
Location Address124 E KINGSTON AVE APT 1117Charlotte, NC 28203-3602
Mailing Address124 E Kingston Ave Apt 1117Charlotte, NC 28203-3602 · (704) 658-6787
Sole ProprietorYes
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1891620456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 14769
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
124 E KINGSTON AVE APT 1117, Charlotte, NC 28203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifford Fiscus's NPI number?

The NPI number for Clifford Fiscus is 1891620456. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Clifford Fiscus located?

Clifford Fiscus practices at 124 E Kingston Ave Apt 1117, Charlotte, NC 28203. The listed phone number is (704) 658-6787.

What is Clifford Fiscus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Clifford Fiscus was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.