Fowler Family Practice

NPI #1710304415 in Powell, Ohio

Provider Information

NPI Number: 1710304415
Entity Type: Organization
Organization Name: Fowler Family Practice
Primary Specialty: Dentist
Enumeration Date: Mar 20, 2014
Last Updated: Mar 20, 2014

Practice Location

Address: 9745 FAIRWAY BLVD
City: Powell
State: Ohio
ZIP Code: 43065-6947
Phone: (614) 766-5722

Authorized Official

Name: KATHY DOTSON
Title: CREDENTIAL MANAGER
Phone: (614) 441-9212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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