Provider Demographics
NPI:1093792848
Name:VAN NESS, HOWARD KERR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:KERR
Last Name:VAN NESS
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 1:1356 BARTLETT CT NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8931
Mailing Address - Country:US
Mailing Address - Phone:360-536-5114
Mailing Address - Fax:
Practice Address - Street 1:USS JOHN C. STENNIS, CVN 74
Practice Address - Street 2:DENTAL DEPARTMENT BOX 66,
Practice Address - City:FPO AP
Practice Address - State:WA
Practice Address - Zip Code:96615
Practice Address - Country:US
Practice Address - Phone:360-925-2550
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 0000 9285122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist