Provider Demographics
NPI:1174519433
Name:HOWE, REBECCA LOUISE (DDS)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LOUISE
Last Name:HOWE
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 1:1011 W FRIENDLY AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1862
Mailing Address - Country:US
Mailing Address - Phone:336-272-6497
Mailing Address - Fax:336-274-5156
Practice Address - Street 1:1011 W FRIENDLY AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1862
Practice Address - Country:US
Practice Address - Phone:336-272-6497
Practice Address - Fax:336-274-5156
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2008-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5502122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8994176Medicaid