Individual provider · Type 1 NPI
Matthew Wayne Fowlkes, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Monroe, LA
NPI number
1376705087
Active
Practice location
2003 Forsythe Ave
Monroe, LA 71201-3608
Fax (318) 388-2835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | MD.207238 (LA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 6460 (LA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Monroe
About NPI 1376705087
Matthew Wayne Fowlkes, DMD, MD's National Provider Identifier is 1376705087, issued on Jun 25, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Monroe, LA. The record was last updated on Jul 1, 2025.