Brenda Lyle Fowler, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3912-17 Issued in MS

Practice address

2408 S Lamar Blvd
Suite 3
Oxford, MS 38655-5345

Phone

(662) 513-4619

Fax

(662) 513-5528

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1699966770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 S LAMAR BLVD",
            "address_2": "SUITE 3",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555345",
            "telephone_number": "662-513-4619",
            "fax_number": "662-513-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 S LAMAR BLVD",
            "address_2": "SUITE 3",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555345",
            "telephone_number": "662-513-4619",
            "fax_number": "662-513-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BRENDA",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MS",
            "license": "3912-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Arnold Forester, DPT
• Ben Phillips Fortner, BA, MS, JD
• Jamie Vice Fortner, FNP
• Portia L Fountain, MS CCC-SLP
• Ashley Nicole Fowler, BSW
• Thomas D Fowlkes, M. D.
• Ariel Fox, BSW
• Cynthia Francis, MAC
• Jacob Franklin
• Leslie Frazier, PA-C

• Periodontics in Oxford, MS
• Providers in Oxford, MS by specialty
• Periodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.