Organization
DOUGLAS L. FOWLER, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS LANE FOWLER DDS (OWNER)
(910) 790-3836
Entity
Organization
Contact information
Practice address
2520 N COLLEGE RD, WILMINGTON, NC 28405-8808
(910) 790-3836
(910) 790-5026
Mailing address
2520 N COLLEGE RD, WILMINGTON, NC 28405-8808
(910) 790-3836
(910) 790-5026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016MP
—
NC
05
—
89902HW
—
NC
Enumeration date
02/20/2007
Last updated
08/22/2020
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