Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366417594 Individual Practitioner Male Practitioner

Dr. Ross H Fishman , DMD

Dentist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ross Fishman, DMD is a registered healthcare professional specializing in Dentist in St Augustine, FL. Practice services are available at 425 W TOWN PL STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

425 W Town Pl Ste 106

St Augustine, FL 320923662

Telephone 9049407990
Associated Practice Facility / Clinic
🏢 The Village Dentist Facility NPI 1205132503

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
30 Specialists

Practicing in St Augustine, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN16716

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
075770500 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Nicholas Tawil , DDS

Dentist - General Practice

NPI 1770600207

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2011

Registered at 425 W TOWN PL STE 106, ST AUGUSTINE, FL 320923662 (Tel: 9049407990)

📍
Updated Business Mailing Address March 17, 2011

Registered at 425 W TOWN PL STE 106, ST AUGUSTINE, FL 320923662 (Tel: 9049407990)

👤
Provider Name / Credentials Updated March 17, 2011

Recorded as ROSS FISHMAN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2011

Dentist (License #DN16716 in FL)

🟢
Initial NPI Registration & Enumeration February 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366417594
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2006
Last Update: March 17, 2011
Sole Proprietor: Yes

Mailing Address

425 W Town Pl Ste 106

St Augustine, FL 320923662

Phone: 9049407990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.