DR. EDWARD BRIAN FOWLER (NPI# 1407836331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407836331 |
| Entity Type | Individual |
| Full Name | DR. EDWARD BRIAN FOWLER |
| Credential | DDS, MS |
| Practice Address |
5005 N Piedras St U.S. Army Dental Activity- Ft Bliss El Paso TX 79920-5001 |
| Practice Telephone | 9157426001 |
| Practice Fax Number | 9155685174 |
| Mailing Telephone | 9157426001 |
| Mailing Fax Number | 9155685174 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DE00008884 | WA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
30-01-8220 | OH | Dental Providers |
| Street Address |
5005 N PIEDRAS ST U.S. ARMY DENTAL ACTIVITY- FT BLISS |
| City | EL PASO |
| State | TX |
| Zip Code | 79920-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663868 | Troy M Denunzio Sr. | Internal Medicine | 5005 N Piedras St, Attn: Credentials Office, El Paso, TX 79920-5001 | 2005-07-19 |
| 1255932331 | Kenneth A Paull | Social Worker | 5005 N Piedras St, El Paso, TX 79930-5097 | 2020-11-04 |
| 1326649757 | Ashley Monique Graham | Social Worker | 5005 N Piedras St, El Paso, TX 79920 | 2020-11-03 |
| 1710597695 | Alyssa Engel | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920 | 2020-08-05 |
| 1497372312 | Luke Sly | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920-5001 | 2020-06-26 |
| 1922620731 | Genevieve Weldon | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2020-05-14 |
| 1518503499 | Raul Aldair Marquez | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-11-26 |
| 1972146934 | Jaclyn Franz | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79930-5097 | 2019-10-22 |
| 1720632284 | Kara Young | Midwife | 5005 N Piedras St, El Paso, TX 79920 | 2019-08-01 |
| 1992367270 | Katharine Long | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
| 1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
| 1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
| 1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
| 1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
| 1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
| 1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
| 1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
| 1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
| 1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
| Find all providers in zip 79920 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033638093 | Vahid Khoshkam | Dentist | 5929 Cromo Dr Ste B, El Paso, TX 79912-5579 | 2017-09-11 |
| 1346399300 | Charles Stephen Caldwell | Dentist | 9398 Viscount Blvd Ste 1a, El Paso, TX 79925-8028 | 2007-01-09 |
| 1730139635 | Bryan Patrick Kalish | Dentist | 6901 Helen of Troy Ste A, El Paso, TX 79911-3049 | 2006-05-11 |
| 1679578421 | Michael Patrick Najera Iv | Dentist | 7598 N Mesa St, Ste 206, El Paso, TX 79912-3521 | 2005-06-17 |
| 1003459355 | Naser Mohammadzadeh Rezaei | Dentist | 5929 Cromo Dr, El Paso, TX 79912-5572 | 2019-10-18 |
| 1841403219 | Frank Feuille V | Dentist | 7598 N Mesa St, Suite B-2, El Paso, TX 79912-3517 | 2007-05-08 |
| 1619025756 | Walter Elliott Dimmitt | Dentist | 9398 Viscount Blvd, Suite A-1, El Paso, TX 79925-8056 | 2007-01-08 |
| 1003992314 | Bruce William Gopin | Dentist | 9398 Viscount Blvd, Suite 5c, El Paso, TX 79925-8056 | 2006-10-29 |
| 1427150119 | Frederick Walter Pirk | Dentist | 7211 N Mesa St, Ste 1w, El Paso, TX 79912-3611 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1326669193 | Bellaire Periocosmetic Dental Pllc | Dentist | 9889 Bellaire Blvd Ste 322, Houston, TX 77036-3468 | 2020-05-02 |
| 1447884341 | Kagayaki Corp. | Dentist | 3535 Victory Group Way Ste 101, Frisco, TX 75034-6719 | 2020-02-28 |
| 1225660046 | Ezzy Oms Pllc | Dentist | 11620 Louetta Rd Ste B, Houston, TX 77070-1282 | 2020-02-10 |
| 1912538984 | Michelle Marie Torres Santos | Dentist | 6123 79th St # 100, Lubbock, TX 79424-8708 | 2020-01-29 |
| 1225668429 | Rachel Dai, Pllc | Dentist | 20423 Kuykendahl Rd Ste 600, Spring, TX 77379-3493 | 2020-01-16 |
| 1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.