Provider Demographics
NPI:1144568866
Name:POPPER, HOWARD A (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:A
Last Name:POPPER
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 1:999 WALT WHITMAN RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3007
Mailing Address - Country:US
Mailing Address - Phone:631-385-9400
Mailing Address - Fax:631-385-9421
Practice Address - Street 1:999 WALT WHITMAN RD
Practice Address - Street 2:SUITE 302
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3007
Practice Address - Country:US
Practice Address - Phone:631-385-9400
Practice Address - Fax:631-385-9421
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029139122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist