DR. PERDITA JAY FISHER (DMD) – Dentist, NPI 1215039987
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PERDITA JAY FISHER (DMD)
11634, West Florissant Avenue, Saint Louis County, Missouri, 63033, United States
FLORISSANT, MO 630336723
Phone: (314) 837-9777
Fax: (314) 837-9778
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-13
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63033)
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