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 Ste 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 Ste D, Nacogdoches,
Texas, 75961-4453 |
| 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: | 06 Oct, 2025 |
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 can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 617,
San Augustine, Texas |
| Zip: | 75972-0617 |
| Phone Number: | 936-554-3496 |
Patients can reach Dr. Sidney Jack Fowler at
1023 N Mound St Ste D, Nacogdoches, Texas or can
call to book an appointment on 936-564-9401.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.