Provider Demographics
NPI:1093752958
Name:HOWARTH, GREGG L I (DMD)
Entity Type:Individual
Prefix:DR
First Name:GREGG
Middle Name:L
Last Name:HOWARTH
Suffix:I
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2617 S HORNER BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-8032
Mailing Address - Country:US
Mailing Address - Phone:919-774-1993
Mailing Address - Fax:919-774-0580
Practice Address - Street 1:530 NEW WAVERLY PL
Practice Address - Street 2:SUITE 302
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7414
Practice Address - Country:US
Practice Address - Phone:919-866-3200
Practice Address - Fax:919-854-4866
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC58131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice