Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW LIONEL FISCUS, DDS
DeactivatedGeneral Dentistry · BOULDER, CO
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1902805138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (0.66849315068493 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 20, 2006
- License
-
8195 (CO)
Practice Information
- Address
-
3400 PENROSE PLSUITE 202BOULDER, CO, 803011809Browse CO providers · Browse ZIP 80301
- Phone
- 3034425748
- Fax
- 3034425749
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL A BENTZ | DDS | 1790788602 |
| DR. ANNE W. BIRNBAUM | DDS | 1053319442 |
| DR. KIRK R RATHBURN | D.D.S. | 1942208178 |
| DR. RICHARD MYERS | DDS | 1851399075 |
| DR. ETHELYN GAIL THOMASON | DMD | 1871585729 |
| DR. CAROLYN S KUPKA | DMD | 1235122128 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.