IndividualActive
Alfred Fowler, DDS
NPI 1124158092 · General Practice Dentistry · Longview, TX
Provider details
- NPI number
- 1124158092
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 14501 (TX)
Specialties & taxonomies
Dental Providers
Practice location
444 Forest Square
Suite D
Longview, TX 75605-4463
Phone: (903) 236-8538
Fax: (903) 236-8539
Approximate (ZIP-level) locationGet directions
Mailing address
444 Forest Square
Longview, TX 75605-4463
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.