Fitzer, Stanley W

Fitzer, Stanley W is an individual health care provider with primary practice located at 200 W Magnolia Ave Suite 102, Fort Worth TX 76104-7644. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Fitzer, Stanley W can be contacted via phone (817) 665-1323.

Contact Information

Primary practice address
200 W Magnolia Ave Suite 102 Fort Worth TX 76104-7644
Phone: (817) 665-1323
Fax: (817) 871-9074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 0013611 Texas

Profile Details

NPI number 1598794133
LBN Legal business name Fitzer, Stanley W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598794133 NPPES
Texas Other 0013611 DDS LICENSE

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