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Deactivated NPI 1053573774 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Robert Fizer , DDS

Dentist - General Practice • Surveyor, WV

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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. Michael Fizer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 25, 2008
NPI Deactivation Date July 17, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Fizer, DDS was a registered Dentist - General Practice practicing in Surveyor, WV. Throughout an active medical career spanning 17 years, Dr. Fizer provided care at the practice location at 6463 HARPER ROAD until profile deactivation on 2025-07-17.

Practice Location & Contact Primary Location

Practice Address

6463 Harper Road

Surveyor, WV 25932

Telephone 3049346269
Fax 3049346223
Associated Practice Facility / Clinic
🏢 Jarrell Family Dentistry Facility NPI 1437316080

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Surveyor, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Surveyor, WV (580 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WV 3818

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

2 Associated Practitioners
Dr. Jeffery Jarrell , DDS

Dentist - General Practice

NPI 1245300755

Doctor of Dental Surgery

NPI 1497952964

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 17, 2025

Record deactivated on July 17, 2025

NPI Profile Active June 25, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 25, 2008

Registered at 6463 HARPER ROAD, SURVEYOR, WV 25932 (Tel: 3049346269)

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Updated Business Mailing Address June 25, 2008

Registered at 6463 HARPER ROAD, SURVEYOR, WV 25932 (Tel: 3049346269)

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Provider Name / Credentials Updated June 25, 2008

Recorded as MICHAEL FIZER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2008

Dentist (License #3818 in WV)

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Initial NPI Registration & Enumeration June 25, 2008

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: 1053573774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2008
Last Update: June 25, 2008
Deactivation Date: July 17, 2025

Mailing Address

6463 Harper Road

Surveyor, WV 25932

Phone: 3049346269

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.