Sidney J. Fowler, D.D.S.

LBN: Sidney J. Fowler, D.D.S.
Sidney J. Fowler, D.D.S. is an health care organization with primary practice located at 1023 N Mound St Suite D, Nacogdoches TX 75961-4491. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Sidney J. Fowler, D.D.S. can be contacted via phone (936) 564-9401, or through Fowler, Kim A via phone (936) 564-9401.

Contact Information

Primary practice address
1023 N Mound St Suite D Nacogdoches TX 75961-4491
Phone: (936) 564-9401
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Kim A Registered Dental Hygienist (RDH)
Phone: (936) 564-9401

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1659539708
LBN Legal business name Sidney J. Fowler, D.D.S.
DBA Doing business as
Authorized official Fowler, Kim A Registered Dental Hygienist (RDH)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2008
Last updated May 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659539708 NPPES
Texas MEDICAID 172282901

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