Howard B Fisher, DDS in Baltimore: Oral Surgery with Hospital-Based Backup

Howard B Fisher, DDS operates as a solo oral surgeon in Baltimore offering extractions, implant placement, and surgical tooth removal under local and IV sedation. His practice stands out for maintaining hospital privileges at University of Maryland Medical Center, a distinction that gives patients access to operating room-level care without traveling to a separate facility.

What the practice actually handles

Fisher performs routine and complex tooth extractions, including impacted third molars (wisdom teeth), and places dental implants for patients seeking permanent tooth replacement. He administers local anesthesia, nitrous oxide, and IV sedation depending on procedure complexity and patient preference. His hospital affiliation means surgical cases requiring deeper sedation or managing medically compromised patients can be coordinated through UM Medical Center's surgical suites rather than an office setting alone.

Most of his patient volume comes through referrals from general dentists across Baltimore who encounter cases beyond their scope. Direct patients are accepted but typically contact the office after a general dentist identifies a need for extraction or implant placement.

Procedures and sedation options

Tooth extraction ranges from straightforward removals under local anesthesia to complex cases involving impacted teeth. IV sedation for wisdom teeth removal typically costs between $600 and $1,200 depending on the number of teeth and complexity, with local anesthesia options reducing cost to $300–$600 per tooth. Implant placement (surgical portion only, excluding the implant crown) runs $1,000–$1,500, charged separately from the implant fixture itself.

Insurance acceptance varies; most plans cover extractions when medically necessary and portions of implant surgery for some patients. Uninsured patients should contact the office to discuss actual out-of-pocket cost before scheduling.

How Fisher compares to other Baltimore oral surgeons

Baltimore has multiple oral surgery practices. Northeast Baltimore clinics like Charm City Oral Surgery and practices in the Harbor East corridor offer extended hours (some open Saturdays) and multiple provider teams, which shortens wait times for routine extractions. Fisher's single-provider model means scheduling is tighter but may appeal to patients preferring one surgeon throughout their care.

Fisher's hospital affiliation is significant for medically complex patients: those with cardiac conditions, bleeding disorders, or multiple medications benefit from access to hospital-level monitoring and emergency support. A general dentist's in-office extraction works fine for healthy patients undergoing routine removal; Fisher suits patients where surgical risk or implant placement complexity warrants that infrastructure.

Who this practice suits and does not suit

Choose Fisher if you need implant placement coordinated with a surgeon who can manage complications in a hospital setting, or if your general dentist recommends him specifically. Patients seeking Saturday appointments or same-week extraction for acute pain should compare wait times with larger group practices first. Patients with no dental insurance should clarify sedation costs upfront; IV sedation adds $300–$400 over local-only anesthesia.

The practice does not offer cosmetic implant design consultations or full-mouth rehabilitation; those are typically coordinated between Fisher's surgical placement and a separate restorative dentist.

First visit and referral process

Most patients arrive by referral from their general dentist, who documents the surgical need and sends records in advance. Self-referred patients should expect a consultation where Fisher evaluates tooth position, bone structure (often via X-ray or CT scan), and medical history before quoting a procedure and timeline.

Extractions under local anesthesia can sometimes be scheduled within days. IV sedation cases and implant placements typically require 1–3 weeks to coordinate scheduling and pre-surgical labs.

Hours, location, and parking

Verify current hours by calling ahead. The practice is located in North Baltimore and offers on-site parking, a practical advantage over some downtown surgical offices. Street parking is available but limited during business hours.

Why Fisher matters in Baltimore

Oral surgeons performing implant surgery and managing complex extractions require not just clinical skill but surgical infrastructure. Fisher's credentials and hospital privileges mean patients do not default to hospital ERs for post-extraction complications or have to travel between providers during multi-stage implant care. For dentists and patients navigating Baltimore's surgical dental landscape, local affiliation and clear referral ties matter more than marketing claims.