SIDNEY J. FOWLER, D.D.S. (NPI# 1659539708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659539708 |
| Entity Type | Organization |
| Organization Name | SIDNEY J. FOWLER, D.D.S. |
| Practice Address |
1023 N Mound St Suite D Nacogdoches TX 75961-4491 |
| Practice Telephone | 9365649401 |
| Mailing Telephone | 9365649401 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | MRS. KIM A FOWLER (OWNER/ OFFICE MANAGER) |
| Authorized Official Telephone | 9365649401 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 172282901 | 05 |
| Street Address |
1023 N MOUND ST SUITE D |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447419 | Edwin L. Ferren | Orthopaedic Surgery | 1023 N Mound St, Ste E, Nacogdoches, TX 75961-4453 | 2005-06-16 |
| 1346661709 | Griffith Family Medicine, Pllc | Family Medicine | 1023 N Mound St, Suite A, Nacogdoches, TX 75961-4491 | 2014-01-02 |
| 1811216120 | Edwin L. Ferren, M.d. Pa | Orthopaedic Surgery | 1023 N Mound St, Suite E, Nacogdoches, TX 75961-4491 | 2010-05-26 |
| 1235317082 | Nacogdoches Family Practice, Pa | Family Medicine | 1023 N Mound St, Suite A, Nacogdoches, TX 75961-4491 | 2008-02-04 |
| 1386765485 | Nacogdoches Cardiac Imaging Center Pllc | Clinic/Center | 1023 N Mound St, Suite L, Nacogdoches, TX 75961-4491 | 2007-04-03 |
| 1982779195 | Sidney Jack Fowler | Dentist | 1023 N Mound St, Suite D, Nacogdoches, TX 75961-4491 | 2006-11-22 |
| 1659444115 | Billy W Henderson | Internal Medicine | 1023 N Mound St, Ste. A, Nacogdoches, TX 75961-4491 | 2006-11-15 |
| 1407957202 | Maria L Deleon | Psychiatry & Neurology | 1023 N Mound St, Suite I, Nacogdoches, TX 75961 | 2006-09-26 |
| 1437160777 | Nacogdoches Cardiac Center, P.a. | Internal Medicine | 1023 N Mound St, Suite K, Nacogdoches, TX 75961-4491 | 2006-08-11 |
| 1205847522 | Vijaya R Pokala | Internal Medicine | 1023 N Mound St, Suite K, Nacogdoches, TX 75961-4491 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| 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 |
|---|---|---|---|---|
| 1467624973 | Brett Mccann Shirley | Dentist | 4800 Ne Stallings Dr Ste 113, Nacogdoches, TX 75965 | 2008-03-25 |
| 1477522266 | Rick Lee Hurst | Dentist | 508 Russell Blvd, Nacogdoches, TX 75965-1244 | 2006-03-15 |
| 1891264024 | Brett Shirley Dds Md Pllc | Dentist | 4800 Ne Stallings Dr Ste 113, Nacogdoches, TX 75965-1250 | 2018-11-16 |
| 1861461121 | Greg S Tate | Dentist | 508 Russell Blvd, Nacogdoches, TX 75965-1244 | 2006-03-17 |
| 1487623104 | Dentate | Dentist | 508 Russell Blvd, Nacogdoches, TX 75965-1244 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
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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.