Irene Fowell in Lakewood - Orthodontics And Dentofacial Orthopedics

Irene Fowell - NPI 1194939793

Irene Fowell is a Orthodontics And Dentofacial Orthopedics in Lakewood, California. Irene Fowell practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Irene Fowell is 1194939793. The last update date is 2007-07-08.

Irene Fowell's current location address is 5555 Del Amo Blvd, Lakewood, California. You can contact this provider via phone number 5628661735 and fax number 5628668190. The mailing address for Irene Fowell is 5555 Del Amo Blvd, Lakewood, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Irene Fowell
Address 5555 Del Amo Blvd, Lakewood, California
Phone Number 5628661735
Fax Number 5628668190
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1194939793
Provider Enumeration Date 2007-05-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5555 Del Amo Blvd
City Lakewood
State California (CA)
Post Code 907132307
Phone Number 5628661735
Fax Number 5628668190

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 41250
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Irene Fowell

What is the unique provider identifier assigned to Irene Fowell?

The Irene Fowell has been issued the NPI (National Provider Identifier) 1194939793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Irene Fowell?

The Irene Fowell is physically situated at 5555 Del Amo Blvd, in the city of Lakewood, state of CA, with the postal code 907132307.

What is Irene Fowell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Irene Fowell is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194939793 to Irene Fowell?

The Centers for Medicare & Medicaid Services assigned the 1194939793 to Irene Fowell on 2007-05-10.

When was the information related to Irene Fowell most recently updated or refreshed?

The details pertaining to the Irene Fowell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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