TREAVOR D FISHER, DDS, LLC
NPI 1962765453
Dentist - General Practice in Coos Bay, OR

Active since June 19, 2012
470 HIGHLAND AVE, COOS BAY, OR 97420(541) 269-2100 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Treavor D Fisher, Dds, Llc NPPES

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

TREAVOR D FISHER, DDS, LLC (NPI 1962765453) is a healthcare organization registered as a general practice in Coos Bay, Oregon and active in the NPI registry since June 2012. The organization lists Treavor D Fisher, Dentist, as its authorized official.

NPPES Registry Identity

NPI1962765453
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTREAVOR D FISHER, DDS, LLC
Location Address470 HIGHLAND AVECoos Bay, OR 97420-2243
Mailing Address470 Highland AveCoos Bay, OR 97420-2243 · (541) 269-2100
Organization SubpartNo
Authorized OfficialTreavor D FisherDentist · (541) 554-4734
Enumeration DateJune 19, 2012
NPI 1962765453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D9340
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.
470 HIGHLAND AVE, Coos Bay, OR 97420

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
470 HIGHLAND AVE
COOS BAY, OR 97420
Dentist
470 HIGHLAND AVE
COOS BAY, OR 97420
Dentist (General Practice)
470 HIGHLAND AVE
COOS BAY, OR 97420

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 Treavor D Fisher, Dds, LLC's NPI number?

The NPI number for Treavor D Fisher, Dds, LLC is 1962765453. It was assigned to this organization in the NPPES registry on June 19, 2012.

Where is Treavor D Fisher, Dds, LLC located?

Treavor D Fisher, Dds, LLC is located at 470 Highland Ave, Coos Bay, OR 97420. The listed phone number is (541) 269-2100.

What is Treavor D Fisher, Dds, LLC'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 Treavor D Fisher, Dds, LLC was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.