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Active NPI 1962468470 Individual Practitioner Male Practitioner

Dr. Jeffrey Paul Fish , DDS

Dentist • Crosby, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Fish, DDS is a registered healthcare professional specializing in Dentist in Crosby, MN. Practice services are available at 107 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

107 W Main St

Crosby, MN 564411423

Telephone 2185466031
Fax 2185468159
Associated Practice Facility / Clinic
🏢 Crosby Family Dentistry Pllc Facility NPI 1912874926

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Crosby, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Crosby, MN (1863 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 MN D10663

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
226222300 (MN)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2014

Registered at 107 W MAIN ST, CROSBY, MN 564411423 (Tel: 2185466031)

📍
Updated Business Mailing Address August 19, 2014

Registered at 107 W MAIN ST, CROSBY, MN 564411423 (Tel: 2185466031)

👤
Provider Name / Credentials Updated August 19, 2014

Recorded as JEFFREY FISH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2014

Dentist (License #D10663 in MN)

🟢
Initial NPI Registration & Enumeration April 24, 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: 1962468470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2006
Last Update: August 19, 2014
Sole Proprietor: Yes

Mailing Address

107 W Main St

Crosby, MN 564411423

Phone: 2185466031

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.