Provider Demographics
NPI:1225488109
Name:HOWE, CONRAD C (DDS)
Entity Type:Individual
Prefix:
First Name:CONRAD
Middle Name:C
Last Name:HOWE
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 1:2317 BALLTOWN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-2342
Mailing Address - Country:US
Mailing Address - Phone:518-370-8086
Mailing Address - Fax:518-370-8086
Practice Address - Street 1:2317 BALLTOWN RD STE 101
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-2342
Practice Address - Country:US
Practice Address - Phone:518-370-8086
Practice Address - Fax:518-370-8086
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0592131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice