Search › Virginia › 1223S0112X
Samuel Fowler, DMD
NPI 1740662766 · on the registry since 2015
Practice
- Address
- 77 Nealy Ave
Langley Afb, VA 23665 - Phone
- (801) 837-6021
- Organisation at this address
- 633d Medgrp-Jb Langley
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 53
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 390200000X
- Licence states on file
- PA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia