Provider Demographics
NPI:1093206823
Name:HOWELL, BRIAN BAILEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:BAILEY
Last Name:HOWELL
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 1:8200 NW 106TH CIR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-8214
Mailing Address - Country:US
Mailing Address - Phone:405-408-8658
Mailing Address - Fax:
Practice Address - Street 1:8200 NW 106TH CIR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-8214
Practice Address - Country:US
Practice Address - Phone:405-408-8658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7051122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist