| Matthew A. Fowler, D.m.d., P.c. | |
|
347 W Iowa Ave Nampa ID 83686-2856 | |
| (208) 468-9699 | |
| (208) 461-9024 |
| Full Name | Matthew A. Fowler, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 347 W Iowa Ave, Nampa, Idaho |
| Authorized Official Name and Position | Matthew A Fowler (PRESIDENT) |
| Authorized Official Contact | 2084689699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew A. Fowler, D.m.d., P.c. 347 W Iowa Ave Nampa ID 83686-2856 Ph: (208) 468-9699 | Matthew A. Fowler, D.m.d., P.c. 347 W Iowa Ave Nampa ID 83686-2856 Ph: (208) 468-9699 |
| NPI Number | 1548429434 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548429434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D3264EN (Idaho) | Primary |
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