Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Alan Fowler, DDS

Individual provider Dentist · NPI 1417205873

Dr. Jason Alan Fowler, DDS is a Dentist in Great Lakes, Illinois. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2410 Sampson St Bldg 237
Great Lakes, IL 60088-2942
Phone: (847) 688-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 61748 (CA)

Record details

NPI number1417205873
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 16, 2012
Last updated in NPPESAugust 16, 2012
Mailing address419 Eucalyptus Dr, Redlands, CA 92373-7126

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