# MATTHEW A. FOWLER, D.M.D., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548429434
- **Authorized official:** DR. MATTHEW A FOWLER D.M.D., M.S. (PRESIDENT)
- **Authorized official phone:** (208) 468-9699

## Contact information

- **Practice address:** 347 W IOWA AVE, NAMPA, ID 83686-2856
- **Practice address phone:** (208) 468-9699
- **Practice address fax:** (208) 461-9024
- **Mailing address:** 347 W IOWA AVE, NAMPA, ID 83686-2856
- **Mailing address phone:** (208) 468-9699
- **Mailing address fax:** (208) 461-9024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | D3264EN | ID | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008