Provider Demographics
NPI:1043496771
Name:HOWARD, ISAAC BRIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:BRIAN
Last Name:HOWARD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 E BELL RD STE 108
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-2835
Mailing Address - Country:US
Mailing Address - Phone:602-493-0206
Mailing Address - Fax:
Practice Address - Street 1:1618 E BELL RD STE 108
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-2835
Practice Address - Country:US
Practice Address - Phone:602-493-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8352122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist