OrganizationActive
Southern De Oral and Maxillofacial Surgery Associates, PA
NPI 1629144589 · Oral and Maxillofacial Surgery (Dentist) · Lewes, DE
Provider details
- NPI number
- 1629144589
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Bruce Fisher, Owner(302) 644-2977
- License
- 2000106563 (DE)
Specialties & taxonomies
Dental Providers
Practice location
17605 Nassau Commons Blvd Ste C
Lewes, DE 19958-6284
Phone: (302) 644-2977
Fax: (302) 645-7561
Approximate (ZIP-level) locationGet directions
Mailing address
17605 Nassau Commons Blvd Ste C
Lewes, DE 19958-6284
Other names (DBA / former)
- Doing business as
- Bruce D Fisher MD DMD
- Doing business as
- Bruce D Fisher, MD, DMD
Registry dates
- Enumerated
- 2006-11-24
- Last updated
- 2022-06-03
- Certified
- 2022-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.