IndividualActive
Matthew Fowlkes, D.M.D., M.D.
NPI 1376705087 · Oral and Maxillofacial Surgery (Dentist) · Monroe, LA
Provider details
- NPI number
- 1376705087
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D., M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD.207238 (LA)
Specialties & taxonomies
Dental Providers
Allopathic & Osteopathic Physicians
Practice location
2003 Forsythe Ave
Monroe, LA 71201-3608
Phone: (318) 388-2621
Fax: (318) 388-2835
Approximate (ZIP-level) locationGet directions
Mailing address
2003 Forsythe Ave
Monroe, LA 71201-3608
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.