Provider Demographics
NPI:1134114341
Name:HOWARD, WILLIAM STONE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STONE
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:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:TURTLETOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37391-0179
Mailing Address - Country:US
Mailing Address - Phone:423-496-7709
Mailing Address - Fax:423-496-1319
Practice Address - Street 1:5612 HIGHWAY 68
Practice Address - Street 2:
Practice Address - City:TURTLETOWN
Practice Address - State:TN
Practice Address - Zip Code:37391-4418
Practice Address - Country:US
Practice Address - Phone:423-496-7709
Practice Address - Fax:423-496-1319
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN34981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4357OtherTENNCARE
NC8994167Medicaid
TN0064885OtherBCBS
TN2984OtherDORAL
TN0064885OtherBCBS