Provider Demographics
NPI:1548346992
Name:JAMES S. FISHBEIN, DDS
Entity type:Organization
Organization Name:JAMES S. FISHBEIN, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:FISHBEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-436-9908
Mailing Address - Street 1:2456 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5624
Mailing Address - Country:US
Mailing Address - Phone:603-436-9908
Mailing Address - Fax:603-436-1354
Practice Address - Street 1:2456 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5624
Practice Address - Country:US
Practice Address - Phone:603-436-9908
Practice Address - Fax:603-436-1354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH17891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
059397OtherUNITED CONCORDIA
020335040NH01OtherANTHEM BLUE CROSS/BLUE SH
NH30007227Medicaid
XO4589FIOtherMA BLUE CROSS/ BLUE SHIEL