Individual
DR. MATTHEW WAYNE FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
2003 FORSYTHE AVE, MONROE, LA 71201-3608
(318) 388-2621
(318) 388-2835
Mailing address
2003 FORSYTHE AVE, MONROE, LA 71201-3608
(318) 388-2621
(318) 388-2835
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6460
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD.207238
LA
Other
Enumeration date
06/25/2008
Last updated
07/01/2025
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