Provider Demographics
NPI:1134143308
Name:HOWELL, JAMES CALVIN (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CALVIN
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 1:3181 PRAIRIE ST SW
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-2097
Mailing Address - Country:US
Mailing Address - Phone:616-538-0770
Mailing Address - Fax:616-538-0770
Practice Address - Street 1:3181 PRAIRIE ST SW
Practice Address - Street 2:SUITE 104
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-2097
Practice Address - Country:US
Practice Address - Phone:616-538-0770
Practice Address - Fax:616-538-0770
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI9545122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist