Sidney Jack Fowler, DDS

General Practice Dentistry · Nacogdoches, TX

Individual Active NPI

NPI number 1982779195

Practice location

1023 N Mound St Ste D
Nacogdoches, TX 75961-4453
Phone
(936) 564-9401
Fax
(936) 564-3907

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NPI record

NPI
1982779195
Entity type
Individual (Type 1)
Enumeration date
November 22, 2006
Last updated
October 6, 2025
Certified
October 6, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 11803 TX

Mailing address

PO Box 617
San Augustine, TX 75972-0617
Phone
(936) 554-3496

About Dr. Fowler

Sidney Jack Fowler, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1023 N Mound St Ste D, Nacogdoches, TX 75961-4453. The NPI number 1982779195 was assigned on November 22, 2006 and the record was last updated on October 6, 2025.

Dr. Fowler lists a license in the registry: #11803 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sidney Jack Fowler, DDS?

The NPI number is 1982779195.

What is the phone number of Dr. Fowler?

The phone number listed for the practice location is (936) 564-9401.

Where is Dr. Fowler located?

1023 N Mound St Ste D, Nacogdoches, TX 75961-4453.

What is the taxonomy code for Dr. Fowler?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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