DR. SAMUEL MATTHEW FOWLER DMD
NPI 1740662766
Dentist - Oral and Maxillofacial Surgery in Langley Afb, VA
About Dr. Samuel Matthew Fowler Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL MATTHEW FOWLER DMD (NPI 1740662766) is an individual oral and maxillofacial surgery provider in Langley Afb, Virginia, licensed in Virginia (0401419024) and active in the NPI registry since June 2015. He has opted out of Medicare through August 12, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Samuel Matthew Fowler Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 12, 2025 through August 12, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23665 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANGLEY AFB, VA 23665
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 Samuel Fowler's NPI number?
The NPI number for Samuel Fowler is 1740662766. It was assigned to this individual provider in the NPPES registry on June 25, 2015.
Where is Samuel Fowler located?
Samuel Fowler practices at 77 Nealy Ave, Langley Afb, VA 23665. The listed phone number is (801) 837-6021.
What is Samuel Fowler's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Samuel Fowler enrolled in Medicare?
No. Samuel Fowler has opted out of Medicare through August 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Samuel Fowler 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 6 other insurers list Samuel Fowler 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 Samuel Fowler was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Samuel Matthew Fowler, DMD · NPI 1740662766
Oral and Maxillofacial Surgery provider in Langley Afb, Virginia. Individual provider, active in the CMS NPPES registry since June 25, 2015.
## Identity
- **NPI:** 1740662766 (Entity type: Individual)
- **Enumerated:** June 25, 2015
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 0401419024 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 77 NEALY AVE, Langley Afb, VA 23665-2040
- **Phone:** (801) 837-6021
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 12, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** August 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740662766) · Data from the CMS NPPES public registry.