| Grant J Fowler D.d.s. | |
|
815 W Persimmon St Rogers AR 72756-3657 | |
| (479) 636-2291 | |
| Not Available |
| Full Name | Grant J Fowler D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 815 W Persimmon St, Rogers, Arkansas |
| Authorized Official Name and Position | Grant Fowler (OWNER) |
| Authorized Official Contact | 4796362291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant J Fowler D.d.s. 815 W Persimmon St Rogers AR 72756-3657 Ph: (479) 636-2291 | Grant J Fowler D.d.s. 815 W Persimmon St Rogers AR 72756-3657 Ph: (479) 636-2291 |
| NPI Number | 1689221079 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689221079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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