Whalio Doctors

NPI 1255439378

Adam M Fowler, DDS

Practitioner General Practice Dentistry Bridgeport, WV

Practice location

Address
930 W Main St, Bridgeport, WV 26330-1673
Phone
(304) 842-7568
Fax
(304) 842-2202
Mailing address
516 Cost Ave, Stonewood, WV 26301-4811

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 3490 (WV)

Registry record

NPI
1255439378
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.