Individual
DR. CRAIG B FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
800 ROSE ST MN530, UK ORAL PATHOLOGY LAB, UKMC RM, LEXINGTON, KY 40536-0297
(959) 323-5515
(859) 323-2525
Mailing address
800 ROSE ST RM MN530, UK ORAL PATHOLOGY LAB, UKMC, LEXINGTON, KY 40536-0297
(959) 323-5515
(859) 323-2525
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
8980
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100183680
—
KY
Enumeration date
02/10/2006
Last updated
08/06/2013
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