Provider Demographics
NPI:1124224134
Name:HOWARD, JENNIFER RIANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:RIANN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 CHRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7458
Mailing Address - Country:US
Mailing Address - Phone:919-240-4261
Mailing Address - Fax:
Practice Address - Street 1:121 S ESTES DR
Practice Address - Street 2:SUITE 206
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2868
Practice Address - Country:US
Practice Address - Phone:919-928-0105
Practice Address - Fax:919-928-0630
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8424122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist