Individual
DR. STEPHEN MATTHEW FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2937 ESSARY DR, KNOXVILLE, TN 37918-2465
(865) 686-0050
(865) 686-0053
Mailing address
2937 ESSARY DR, KNOXVILLE, TN 37918-2465
(865) 686-0050
(865) 686-0053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9147
KY
1223G0001X
General Practice Dentistry
Primary
9280
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531900
—
TN
Enumeration date
06/02/2011
Last updated
07/16/2013
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