Active NPI
Robert Marcus Fowler, DMD
- General Practice Dentistry
- Clemson, SC
National Provider Identifier
1255574083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4482
- Practice address
- 124 Strode Cir
Clemson, SC 29631-1484 - Phone
- (864) 722-9050
- NPI assigned
- Apr 9, 2009
- Last updated
- Jun 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4482 | SC | Primary |
Addresses
Primary practice location
124 Strode Cir
Clemson, SC 29631-1484
Mailing address
102 Albermarle Dr
Clemson, SC 29631-1702
Phone (864) 940-9572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4482 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Mark Fowler DMD LLC | General Practice | Current | Accepting new patients |
| Fort Hill Family Dentistry, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Pawley's Island, SC
- NPI 1013889518
-
- Dental Clinic/Center
- Clemson, SC
- NPI 1437408499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1255574083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 ALBERMARLE DR",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296311702",
"telephone_number": "864-940-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 STRODE CIR",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296311484",
"telephone_number": "864-722-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "ROBERT",
"middle_name": "MARCUS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-09",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemson, SC
- Madison Fisher, CCC-SLP
- Yesenia Isabel Fisher
- Foothills Community Health Care, Inc
- Foothills Community Health Care, Inc. (Foothills Clemson Pharmacy)
- Fort Hill Family Dentistry, PA
- Sherri Diane Fowler, NCTMB, LMT
- William Mark Frederick, MA
- Sally S Fuller, M.D.
- Olivia Gahwyler
- Birmagidra Marie Gainor, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.