DR. KENNETH SHANE FOWLER (NPI# 1518004761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518004761 |
| Entity Type | Individual |
| Full Name | DR. KENNETH SHANE FOWLER |
| Credential | D.D.S. |
| Practice Address |
335 Doucet Rd Ste A Lafayette LA 70503-3497 |
| Practice Telephone | 3379810144 |
| Practice Fax Number | 3379810162 |
| Mailing Telephone | 3379810144 |
| Mailing Fax Number | 3379810162 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5326 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851682710 | Kenneth Earl Fowler Jr. | Counselor | 1028 E Park Ave, Tallahassee, FL 32301-2673 | 2011-04-27 |
| 1467590836 | Kenneth Eugene Fowler | Dentist | 6060 Mcdonough Dr, Ste I, Norcross, GA 30093 | 2007-02-01 |
| 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 |
335 DOUCET RD STE A |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-3497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497062889 | Rachel Anders Durel | Dentist | 335 Doucet Rd, Suite B, Lafayette, LA 70503-3497 | 2010-09-07 |
| 1275860975 | Advantage Profiles L.L.C. | Clinical Medical Laboratory | 335 Doucet Rd, Suite C, Lafayette, LA 70503-3497 | 2009-11-17 |
| 1013110931 | Monica Lovenia Blancas | Dentist | 335 Doucet Rd, Ste B, Lafayette, LA 70503 | 2007-06-07 |
| 1922120831 | Waldemar Oran Toce Jr. | Dentist | 335 Doucet Rd, Ste B, Lafayette, LA 70503 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326686866 | Acadiana Endodontics | Dentist | 4906 Ambassador Caffery Pkwy Bldg O, Lafayette, LA 70508-6962 | 2019-12-16 |
| 1780983726 | Kool Smiles In-3, PC | Dentist | 4315 Commerce Dr, Suite 310, Lafayette, IN 47905-3822 | 2011-03-16 |
| 1083946834 | David M Vieth, Dds, A Professional Corporation | Dentist | 2001 Ne Evangeline Thruway, Lafayette, LA 70501 | 2010-02-04 |
| 1245367481 | Anthony Brian Rainwater | Dentist | 3909-b Ambassador Caffery Parkway, Lafayette, LA 70503 | 2007-02-27 |
| 1063580702 | Yas Dastmalchi | Dentist | 3505 School St, Lafayette, CA 94549-4505 | 2006-12-01 |
| 1619044021 | Reynold L Gaubert Dmd | Dentist | 3839 West Congress Street, Suite A, Lafayette, LA 70506 | 2006-11-29 |
| 1407939226 | Brent Michael Chauvin | Dentist | 221 Rue De Jean, Suite 214, Lafayette, LA 70508-8501 | 2006-10-23 |
| 1932294030 | John Edward Levin | Dentist | 312 W University Ave, Suite A, Lafayette, LA 70506-3648 | 2006-10-04 |
| 1760432611 | Sean P. Hart | Dentist | 1533 Kossuth St, Lafayette, IN 47905-1560 | 2006-05-11 |
| 1992703102 | Mark David Wood | Dentist | 1200 W South Boulder Rd, Suite 103, Lafayette, CO 80026-3546 | 2005-07-12 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. KENNETH SHANE FOWLER.
| 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.