IndividualActive
Bradford Fisher, DDS
NPI 1093889404 · Dentist · Nampa, ID
Provider details
- NPI number
- 1093889404
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D1705 (ID)
Specialties & taxonomies
Dental Providers
Practice location
205 7th Ave So
Nampa, ID 83651
Phone: (208) 442-0000
Approximate (ZIP-level) locationGet directions
Mailing address
205 7th Ave So
Nampa, ID 83651
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.