Provider Demographics
NPI:1205865565
Name:HOWELL, RICHARD W (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:W
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 1:3530 N MACARTHUR BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73122-1618
Mailing Address - Country:US
Mailing Address - Phone:405-949-0785
Mailing Address - Fax:405-949-1159
Practice Address - Street 1:3530 N MACARTHUR BLVD
Practice Address - Street 2:STE 5
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73122-1618
Practice Address - Country:US
Practice Address - Phone:405-949-0785
Practice Address - Fax:405-949-1159
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK45681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice