DR. D'wayne Fowler, DDS

NPI #1699789537 in Ellijay, Georgia

Provider Information

NPI Number: 1699789537
Entity Type: Individual
Name: DR. D'wayne Fowler, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 326 N MAIN ST
City: Ellijay
State: Georgia
ZIP Code: 30540-3397
Phone: (706) 635-7453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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