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Dr. Sidney Jack Fowler, DDS
General Practice Dentistry in Nacogdoches, Texas
NPI 1982779195

Sidney Jack Fowler is a General Practice Dentistry based in Carthage, TX and is specialized in General Practice. Sidney Jack Fowler practices in Nacogdoches, TX and has the professional credentials of DDS. The NPI Number for Sidney Jack Fowler is 1982779195 and holds a License No. 11803 (Texas).

The current practice location address for Sidney Jack Fowler is 1023 N Mound St, Nacogdoches, TX and can be reached out via phone at 936-564-9401 and via fax at 936-564-3907.

Location: 1023 N Mound St, Nacogdoches, TX, 75633-4924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982779195
Provider Name
Sidney Jack Fowler
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1023 N Mound St, Nacogdoches, TX, 75633-4924
Phone Number
936-564-9401
Fax Number
936-564-3907
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
120750805 05 TX
172282901 05 TX
G60111-01 01 TX CHIPS
institution
Provider Business Practice Location Address Details
Address
1023 N Mound St
City
Nacogdoches
State
Texas
Zip
75961-4491
Phone Number
936-564-9401
Fax Number
936-564-3907
person
Provider Business Mailing Address Details
Address
1023 N Mound St
City
Nacogdoches
State
Texas
Zip
75961-4491
Phone Number
936-564-9401
Fax Number
936-564-3907
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11803 (Texas)
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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