Dr. Sidney Jack Fowler is a Nacogdoches, Texas based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Sidney Jack Fowler is 11803 for General Practice Dentistry in Texas. His current practice location is 1023 N Mound St, Suite D, Nacogdoches. Patients can reach him at 936-564-9401.
Dr. Sidney Jack Fowler is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Sidney Jack Fowler speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Sidney Jack Fowler
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1023 N Mound St, Suite D, Nacogdoches, Texas, 75961-4491
Phone:
936-564-9401
Fax:
936-564-3907
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1982779195
NPI Enumeration Date:
22 Nov, 2006
NPI Last Update On:
20 Jul, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sidney Jack Fowler are as mentioned below.
License Number
Specialization
State
Status
11803
General Practice Dentistry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Sidney Jack Fowler such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
120750805
Medicaid
Texas
172282901
Medicaid
Texas
G60111-01
Other
Texas
CHIPS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2314 Us Highway 59 S, Carthage, Texas
Zip:
75633-4924
Phone Number:
903-690-0969
Patients can reach Dr. Sidney Jack Fowler at 1023 N Mound St, Suite D, Nacogdoches, Texas or can call to book an appointment on 936-564-9401. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.