| Dr Sidney Jack Fowler, DDS | |
|
1023 N Mound St, Suite D, Nacogdoches, TX 75961-4491 | |
| (936) 564-9401 | |
| (936) 564-3907 |
| Full Name | Dr Sidney Jack Fowler |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1023 N Mound St, Nacogdoches, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982779195 | NPI | - | NPPES |
| 120750805 | Medicaid | TX | |
| 172282901 | Medicaid | TX | |
| G60111-01 | Other | TX | CHIPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11803 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sidney Jack Fowler, DDS 2314 Us Highway 59 S, Carthage, TX 75633-4924 Ph: (903) 690-0969 | Dr Sidney Jack Fowler, DDS 1023 N Mound St, Suite D, Nacogdoches, TX 75961-4491 Ph: (936) 564-9401 |
Dr. Apoorve Sharma, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4909 North St Ste 210, Nacogdoches, TX 75965 Phone: 936-560-3380 | |
Mrs. Kimberly Danielle Biggs-lewis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1023 N Mound St Ste D, Nacogdoches, TX 75961 Phone: 936-554-6397 Fax: 936-564-3907 | |
Dr. Jeffrey Bishop Hancock, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1125 N University Dr, Nacogdoches, TX 75961 Phone: 936-564-2005 Fax: 936-564-9776 | |
Dr. Summerjoy Charity Gammage Enlow, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1329 N University Dr, Ste C1, Nacogdoches, TX 75961 Phone: 936-564-9730 | |
Anissa Lynn Reagor, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1210 Douglass Rd, Nacogdoches, TX 75964 Phone: 936-560-1122 Fax: 936-560-1631 | |
James William Norman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4703 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-560-0698 Fax: 936-560-0846 | |
Dr. Daniel Allison Weaver, D.D.S.,M.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1520 E Starr Ave, Nacogdoches, TX 75961 Phone: 936-564-9320 Fax: 936-564-6779 |