DR. LIONEL THOMAS FOWLER (NPI# 1396956942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396956942 |
| Entity Type | Individual |
| Full Name | DR. LIONEL THOMAS FOWLER |
| Credential | DMD |
| Practice Address |
5879 Highway 707 Myrtle Beach SC 29588-7359 |
| Mailing Address |
2842 Harvard Rd Charleston SC 29414-7030 |
| Practice Telephone | 8436504707 |
| Practice Fax Number | 8436505151 |
| Mailing Telephone | 8435562421 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1732 | SC | Dental Providers |
| Street Address |
5879 HIGHWAY 707 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-7359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881117356 | Micah Dowling | Dentist | 5879 Highway 707, Myrtle Beach, SC 29588-7359 | 2017-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326617 | Southern Oak Dental, LLC | Dentist | 1017 Highway 501, Myrtle Beach, SC 29577-3820 | 2020-01-30 |
| 1104467224 | Dental Professional of South Carolina, P.C. | Dentist | 2749 Agnes Ln, Myrtle Beach, SC 29577-2029 | 2019-09-30 |
| 1669947511 | Forest Crossing Family Dental, LLC | Dentist | 4999 Carolina Forest Blvd Ste 14, Myrtle Beach, SC 29579-3588 | 2018-10-08 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1942667100 | Gamble Dentalsmart PC | Dentist | 1009 Highway 501, #70, Myrtle Beach, SC 29577-3820 | 2016-01-19 |
| 1053706747 | Dental Professionals of South Carolina, PC | Dentist | 100 Debo Dr Unit 110, Myrtle Beach, SC 29579-4921 | 2015-03-31 |
| 1740689967 | Kings Highway Dental Health Center, P.C. | Dentist | 1317 N Kings Hwy # 106, Myrtle Beach, SC 29577-3636 | 2014-08-14 |
| 1104243740 | Sparkle Dental Center Inc. | Dentist | 8848 Highway 17 Byp S, Myrtle Beach, SC 29588-7739 | 2014-03-20 |
| 1093075939 | Horry-georgetown Technical College | Dentist | 3500 Pampas Dr, Bldg. 1000, Myrtle Beach, SC 29577-5168 | 2012-05-25 |
| 1255663019 | Mark Conard | Dentist | 4382 Oleander Drive, Myrtle Beach, SC 29577 | 2010-02-04 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.