Sidney Jack Fowler in Nacogdoches - General Practice
Sidney Jack Fowler - NPI 1982779195
Sidney Jack Fowler is a General Practice in Nacogdoches, Texas. Sidney Jack Fowler practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sidney Jack Fowler is 1982779195. The last update date is 2011-07-20.
Sidney Jack Fowler's current location address is 1023 N Mound St, Nacogdoches, Texas. You can contact this provider via phone number 9365649401 and fax number 9365643907. The mailing address for Sidney Jack Fowler is 1023 N Mound St, Nacogdoches, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sidney Jack Fowler |
|---|---|
| Address | 1023 N Mound St, Nacogdoches, Texas |
| Phone Number | 9365649401 |
| Fax Number | 9365643907 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982779195 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2011-07-20 |
Provider Mailing Address Detail
| Address | 1023 N Mound St |
|---|---|
| City | Nacogdoches |
| State | Texas (TX) |
| Post Code | 759614491 |
| Phone Number | 9365649401 |
| Fax Number | 9365643907 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 11803 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120750805 | TX | -- | |
| 172282901 | TX | -- | |
| G60111-01 | TX | CHIPS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sidney Jack Fowler by the Centers for Medicare & Medicaid Services?
The Sidney Jack Fowler has been issued the NPI (National Provider Identifier) 1982779195, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Sidney Jack Fowler is physically located?
The Sidney Jack Fowler is situated at the following address: 1023 N Mound St, Nacogdoches, TX 759614491.
What is Sidney Jack Fowler's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sidney Jack Fowler's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Sidney Jack Fowler's 1982779195 issued?
The Sidney Jack Fowler's 1982779195 was issued on 2006-11-22.
When was the information regarding Sidney Jack Fowler most recently updated?
The details pertaining to the Sidney Jack Fowler, including its address, specialty, and other relevant information, were last refreshed on 2011-07-20.
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