Fowler, Melanie

Fowler, Melanie is an individual health care provider with primary practice located at 4906 Ambassador Caffery Pkwy Bldg O, Lafayette LA 70508-6916. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Fowler, Melanie can be contacted via phone (337) 981-4350.

Contact Information

Primary practice address
4906 Ambassador Caffery Pkwy Bldg O Lafayette LA 70508-6916
Phone: (337) 981-4350
Fax: (337) 981-4352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5402 Louisiana

Profile Details

NPI number 1861421224
LBN Legal business name Fowler, Melanie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 10th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861421224 NPPES
Louisiana MEDICAID 1854026
Louisiana Other 43851104030

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