DR. KENNETH EUGENE FOWLER (NPI# 1467590836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467590836 |
| Entity Type | Individual |
| Full Name | DR. KENNETH EUGENE FOWLER |
| Credential | DDS |
| Practice Address |
6060 Mcdonough Dr Ste I Norcross GA 30093 |
| Mailing Address |
1650 Oakbrook Dr Ste 440 Norcross GA 30093 |
| Practice Telephone | 7704769595 |
| Mailing Telephone | 7708035386 |
| Mailing Fax Number | 7708035386 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN008179 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851682710 | Kenneth Earl Fowler Jr. | Counselor | 1028 E Park Ave, Tallahassee, FL 32301-2673 | 2011-04-27 |
| 1518004761 | Kenneth Shane Fowler | Dentist | 335 Doucet Rd, Ste A, Lafayette, LA 70503-3497 | 2007-01-30 |
| 1699849166 | Kenneth Patrick Fowler | Internal Medicine | 500 Merrimack St, Lawrence, MA 01843-1756 | 2006-11-17 |
| 1407877962 | Kenneth A Fowler | Dentist | 11201 Benton St, Dental Service, Loma Linda, CA 92357-1000 | 2006-07-21 |
| Street Address |
6060 MCDONOUGH DR STE I |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568523272 | Bettzad Aliassa | Dentist | 6060 Mcdonough Dr, Suite I, Norcross, GA 30093 | 2006-12-13 |
| 1477699510 | Raymon Eric Allison Jr. | Dentist | 6060 Mcdonough Dr, Suite 1, Norcross, GA 30093 | 2007-01-29 |
| 1497811046 | William Crosby Galvin | Dentist | 6060 Mcdonough Dr, Suite 1, Norcross, GA 30093 | 2006-12-28 |
| 1902968506 | Orson Young Baek | Dentist | 6060 Mcdonough Dr, Suite I, Norcross, GA 30093 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1528617289 | Safa Shamim Dalwai | Dentist | 6141 Peachtree Pkwy, Norcross, GA 30092-3304 | 2019-09-05 |
| 1023662194 | Lauren Crawford Weant | Dentist | 3850 Holcomb Bridge Rd Ste 200, Norcross, GA 30092-5223 | 2019-07-28 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1184043143 | Dammer Armando Salazar | Dentist | 1650 Oakbrook Dr Ste 440, Norcross, GA 30093-1817 | 2014-04-07 |
| 1265872014 | To Nga Thi Dinh | Dentist | 1514 Glenleaf Dr, Norcross, GA 30092-6114 | 2013-06-26 |
| 1487953741 | Avala Dental Providers | Dentist | 5495 Jimmy Carter Blvd., Suite A-14, Norcross, GA 30093 | 2011-03-24 |
| 1538318894 | Hannah Lee | Dentist | 6185 Buford Hwy # G, Norcross, GA 30071-2350 | 2008-09-11 |
| 1205084944 | Zina Aaron | Dentist | 1004 Carroll Ct, Norcross, GA 30071-5010 | 2008-09-07 |
| 1144481987 | Norcross Dental Associates | Dentist | 6270 Smithpointe Dr, Norcross, GA 30092-2754 | 2008-06-24 |
| Find all providers in NORCROSS | ||||
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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.