Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern De Oral and Maxillofacial Surgery Associates, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1629144589

Southern De Oral and Maxillofacial Surgery Associates, PA is an Oral and Maxillofacial Surgery (Dentist) in Lewes, Delaware. Licensed in Delaware. Registered with an NPI since 2006.

Licensed in
DE
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17605 Nassau Commons Blvd Ste C
Lewes, DE 19958-6284
Phone: (302) 644-2977
Fax: (302) 645-7561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2000106563 (DE)

Record details

NPI number1629144589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Fisher — Owner · (302) 644-2977
Other names Bruce D Fisher Md Dmd; Bruce D Fisher, Md, Dmd
NPI enumeratedNovember 24, 2006
Last updated in NPPESJune 3, 2022
Certification dateJune 3, 2022
Mailing address17605 Nassau Commons Blvd Ste C, Lewes, DE 19958-6284

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