Sydney Fowler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25435 Issued in FL

Practice address

12276 San Jose Blvd Ste 314
Jacksonville, FL 32223-8632

Phone

(661) 877-7697

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

Yes

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1962018424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 CHAPELTOWN CIR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255265",
            "telephone_number": "661-877-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 314",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238632",
            "telephone_number": "661-877-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "SYDNEY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jantzen Sean Fowler, MD
• Kimberly Ann Fowler, LMT
• Mary Lee Ann Fowler, D.C.
• Nathanial James Fowler
• Sally A Fowler, LCSW
• Fox Mental Helath Services
• Cheryl Fox, LMT
• Emily Fox
• Felicia Olivier Fox, MD
• Hannah Thomason Fox, M.D.

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.