DR. KIMBERLYN DARLENE FOWLER (NPI# 1407984412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407984412 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLYN DARLENE FOWLER |
| Credential | DDS |
| Practice Address |
555 Auburn St Manchester NH 03103 |
| Mailing Address |
555 Auburn St Manchester NH 03103-4803 |
| Practice Telephone | 6036213482 |
| Mailing Telephone | 6036213516 |
| Mailing Fax Number | 6036228101 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
04376 | NH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851725113 | Kimberlyn S Fowler | Dental Hygienist | 924 N Broadway St, Pittsburg, KS 66762-3910 | 2013-08-22 |
| Street Address |
555 AUBURN ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801976477 | Brenda Gaffney Larkin | Occupational Therapist | 555 Auburn St, Manchester, NH 03103-4803 | 2006-10-17 |
| 1073131041 | Marguerite Victoria Bagshaw | Social Worker | 555 Auburn St, Manchester, NH 03103-4803 | 2020-07-07 |
| 1710450648 | Patricia Wood | Behavioral Analyst | 555 Auburn St, Manchester, NH 03103-4803 | 2019-01-03 |
| 1699283903 | Doreen Eunice Tatro Adams | Physical Therapist | 555 Auburn St, Manchester, NH 03103-4803 | 2018-01-21 |
| 1467971788 | Nicole Benitez | Behavior Technician | 555 Auburn St, Manchester, NH 03103-4803 | 2017-09-19 |
| 1538688866 | Amanda Davis | Behavior Technician | 555 Auburn St, Manchester, NH 03103-4803 | 2017-09-19 |
| 1518416940 | Barbara Kyle | Behavioral Analyst | 555 Auburn St, Manchester, NH 03103-4803 | 2016-09-27 |
| 1477006112 | Lauren Page | Occupational Therapist | 555 Auburn St, Manchester, NH 03103-4803 | 2016-07-29 |
| 1659737104 | Kate-lynn Clancy | Behavioral Analyst | 555 Auburn St, Manchester, NH 03103-4803 | 2016-01-13 |
| 1306268248 | Marianne Rork | Physical Therapist | 555 Auburn St, Manchester, NH 03103-4803 | 2014-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871649780 | Mark D Abel | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2007-01-25 |
| 1205197647 | Matthew Nichols Dds Oral and Facial Surgery Pllc | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2012-06-01 |
| 1477707081 | Rosenlicht Surgery Center | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2008-11-10 |
| 1417114687 | North Manchester Oral and Maxillofacial Surgery, Pllc | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2008-05-16 |
| 1760659544 | Gopi K. Voonna | Dentist | 1 Elliot Way, Manchester, NH 03103-3502 | 2008-05-12 |
| 1174736920 | Prindiville, Peracchio & Saunders, Dmd PC | Dentist | 945 Main St, Suite 310, Manchester, CT 06040-6064 | 2007-05-08 |
| 1922105352 | John Charles Mccabe | Dentist | 483 W Middle Tpke, Ste-200, Manchester, CT 06040 | 2006-09-20 |
| 1295744118 | Joel Lawrence Rosenlicht | Dentist | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2006-08-07 |
| 1497774152 | Ryaz Ansari | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2006-07-19 |
| 1457316473 | William P Dobbin | Dentist | 4 Elliot Way, Manchester, NH 03103-3547 | 2006-04-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
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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.