Robert Jaaron Fowers
Individual provider Active NPI General Practice Dentistry · Richland, MO
NPI 1942990163 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1942990163
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2025024490 (MO)
- Practice address
- 304 W Washington Ave
Richland, MO 65556-7101 - Phone
- (877) 406-2662
- NPI assigned
- May 10, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250711000352 | MO | Practitioner - Dentist | 4880109701 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Medical Center, Inc. | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2025024490 | MO | Yes |
Addresses
Primary practice location
304 W Washington Ave
Richland, MO 65556-7101
Mailing address
114 Paradise St
Waynesville, MO 65583-2925
Phone (557) 999-1066
Other providers in Richland, MO
- Amanda Katherine Cummings
- Megan Davault
- Elizabeth C Ewers Teel
- Rachel Fenton
- Danielle Fowers
- Cameron Gray
- Jocelyn Joanne Gutowski
- Fuguana Camela Chinika Haggard
- Lynnette Kay Hall
- Heaven'S Hope LLC
All providers in Richland, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.