| Jeffrey D. Fowler, D.d.s., M.ed., P.c. | |
|
8120 S Holly St #204 Centennial CO 80122-4005 | |
| (303) 771-6969 | |
| (303) 771-1082 |
| Full Name | Jeffrey D. Fowler, D.d.s., M.ed., P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 8120 S Holly St, Centennial, Colorado |
| Authorized Official Name and Position | Jeffrey Duane Fowler (PRESIDENT) |
| Authorized Official Contact | 3037716969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D. Fowler, D.d.s., M.ed., P.c. 8120 S Holly St #204 Centennial CO 80122-4005 Ph: (303) 771-6969 | Jeffrey D. Fowler, D.d.s., M.ed., P.c. 8120 S Holly St #204 Centennial CO 80122-4005 Ph: (303) 771-6969 |
| NPI Number | 1104030121 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104030121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 7725 (Colorado) | Primary |
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