Jeffrey D. Fowler, D.D.S., M.Ed., P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7725 Issued in CO

Legal business name

JEFFREY D. FOWLER, D.D.S., M.ED., P.C.

Practice address

8120 S Holly St
#204
Centennial, CO 80122-4005

Phone

(303) 771-6969

Fax

(303) 771-1082

NPI assigned

May 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Duane Fowler, D.D.S.

Title

President

Phone

(303) 771-6969

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104030121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 S HOLLY ST",
            "address_2": "#204",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224005",
            "telephone_number": "303-771-6969",
            "fax_number": "303-771-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 S HOLLY ST",
            "address_2": "#204",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224005",
            "telephone_number": "303-771-6969",
            "fax_number": "303-771-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. FOWLER, D.D.S., M.ED., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-771-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "7725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Levi Jason, D.C
• Elizabeth Xenofon Jauregui, LCSW
• Nicole Jefferies, LMT
• Cameo Jeffers-Julius
• Jeffrey D Huston MD
• Jeffrey S Tatarin DDS PC
• Barbara H. Jenkins, AUD
• Hali Jenkins
• Janae Jenkins
• Malia K. K. Jenkins, RBT-17-34101

• Periodontics in Centennial, CO
• Providers in Centennial, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.