Matthew Wayne Fowlkes in Monroe - Oral & Maxillofacial Surgery
Matthew Wayne Fowlkes - NPI 1376705087
Matthew Wayne Fowlkes is a Oral & Maxillofacial Surgery in Monroe, Louisiana. Matthew Wayne Fowlkes practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Matthew Wayne Fowlkes is 1376705087. The last update date is 2014-07-14.
Matthew Wayne Fowlkes's current location address is 2003 Forsythe Ave, Monroe, Louisiana. You can contact this provider via phone number 3183882621 and fax number 3183882835. The mailing address for Matthew Wayne Fowlkes is 2003 Forsythe Ave, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Wayne Fowlkes |
|---|---|
| Address | 2003 Forsythe Ave, Monroe, Louisiana |
| Phone Number | 3183882621 |
| Fax Number | 3183882835 |
| Sole Proprietor | N |
| Credentials | D.M.D., M. |
NPI Number Detail
| NPI Number | 1376705087 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2014-07-14 |
Provider Mailing Address Detail
| Address | 2003 Forsythe Ave |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712013608 |
| Phone Number | 3183882621 |
| Fax Number | 3183882835 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 6460 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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What is the unique 10-digit identifier code issued to Matthew Wayne Fowlkes by the Centers for Medicare & Medicaid Services?
The Matthew Wayne Fowlkes has been assigned the NPI (National Provider Identifier) 1376705087 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Matthew Wayne Fowlkes's facilities are geographically located?
The facilities of Matthew Wayne Fowlkes are physically situated at the following location: 2003 Forsythe Ave, Monroe, LA, 712013608.
What is Matthew Wayne Fowlkes's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Matthew Wayne Fowlkes is Oral & Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 204E00000X.
On what date was the 1376705087 assigned to Matthew Wayne Fowlkes?
The Matthew Wayne Fowlkes was issued its 1376705087 on 2008-06-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Matthew Wayne Fowlkes's details last updated?
The information pertaining to the Matthew Wayne Fowlkes, including its address, specialty, and other details, was most recently updated on 2014-07-14.