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COLTON LAWRENCE FOWLKES
NPI 1558950964
Dentist - Pediatric Dentistry in Marietta, GA

Active since January 12, 2021
880 CANTON RD NE STE 100, MARIETTA, GA 30060(770) 422-8264 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Jan 12, 2021 (2 updates tracked since 2021).

About Colton Lawrence Fowlkes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLTON LAWRENCE FOWLKES (NPI 1558950964) is an individual pediatric dentistry provider in Marietta, Georgia, licensed in Georgia (DN122221) and active in the NPI registry since January 2021. He maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1558950964
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameCOLTON LAWRENCE FOWLKES
Location Address880 CANTON RD NE STE 100Marietta, GA 30060-7283
Mailing Address2825 Parnell Springs CtCumming, GA 30040-5027
Phone(770) 422-8264
Sole ProprietorNo
Enumeration DateJanuary 12, 2021
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1558950964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN122221
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN122221 (GA)
880 CANTON RD NE STE 100, Marietta, GA 30060
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Freedom WayAugusta, GA 30904-6258 · Phone (706) 733-0188 ext. 6251

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HERBERT LEONARD SILVER PT, DSC, OCS, MBA
Physical Therapist
880 CANTON RD NE STE 100
MARIETTA, GA 30060
Cobb County (770) 792-7522
ATHLETIC SPINE REHABILITATION, LLC
Physical Therapist
880 CANTON RD NE STE 100
MARIETTA, GA 30060
Cobb County (770) 792-7522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colton Fowlkes's NPI number?

The NPI number for Colton Fowlkes is 1558950964. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Colton Fowlkes located?

Colton Fowlkes practices at 880 Canton Rd NE Ste 100, Marietta, GA 30060. The listed phone number is (770) 422-8264.

What is Colton Fowlkes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Colton Fowlkes accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Colton Fowlkes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colton Fowlkes was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.