Provider Demographics
NPI:1003838368
Name:HOWELL, DANIEL THORNE (MS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:THORNE
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 ASHVILLE AVE, STE 101
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518
Mailing Address - Country:US
Mailing Address - Phone:919-467-0635
Mailing Address - Fax:919-319-6221
Practice Address - Street 1:305H ASHVILLE AVE
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518
Practice Address - Country:US
Practice Address - Phone:919-467-0635
Practice Address - Fax:919-319-6221
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC42891223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7994180Medicaid
NC7994180Medicaid