DR. Casey Glenn Fishburn, D.M.D.

NPI #1730181579 in Muskogee, Oklahoma

Provider Information

NPI Number: 1730181579
Entity Type: Individual
Name: DR. Casey Glenn Fishburn, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Aug 11, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2205 CHANDLER RD
City: Muskogee
State: Oklahoma
ZIP Code: 74403-4626
Phone: (918) 683-2291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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