Provider Demographics
NPI:1255478657
Name:JD HOWARD DENTAL, LLC
Entity Type:Organization
Organization Name:JD HOWARD DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-749-0636
Mailing Address - Street 1:375 SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-5935
Mailing Address - Country:US
Mailing Address - Phone:603-749-0636
Mailing Address - Fax:603-749-9082
Practice Address - Street 1:375 SIXTH ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-5935
Practice Address - Country:US
Practice Address - Phone:603-749-0636
Practice Address - Fax:603-749-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty