Dr. Andrew Lionel Fiscus , DDS
Dentist - General Practice • Boulder, CO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Andrew Fiscus has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Andrew Fiscus, DDS was a registered Dentist - General Practice practicing in Boulder, CO. Throughout an active medical career spanning 1 years, Dr. Fiscus provided care at the practice location at 3400 PENROSE PL until profile deactivation on 2006-03-20.
Practice Location & Contact Primary Location
3400 Penrose Pl
Suite 202
Boulder, CO 803011809
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Boulder, CO
Practicing in Boulder, CO (2613 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 3400 PENROSE PL, SUITE 202, BOULDER, CO 803011809 (Tel: 3034425748)
Registered at 3400 PENROSE PL, SUITE 202, BOULDER, CO 803011809 (Tel: 3034425748)
Recorded as ANDREW FISCUS, DDS
Dentist (License #8195 in CO)
Record officially reactivated for active practice on April 11, 2006
Record deactivated on March 20, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3400 Penrose Pl, Suite 202
Boulder, CO 803011809
Phone: 3034425748
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