Provider Demographics
NPI:1861900748
Name:FISSELIER, FRANCOIS-MARIE ALAIN PAUL
Entity type:Individual
Prefix:
First Name:FRANCOIS-MARIE
Middle Name:ALAIN PAUL
Last Name:FISSELIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 NEWBURY ST STE 103
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4581
Mailing Address - Country:US
Mailing Address - Phone:617-435-7415
Mailing Address - Fax:
Practice Address - Street 1:205 NEWBURY ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4581
Practice Address - Country:US
Practice Address - Phone:617-435-7415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADF113191223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics