Provider Demographics
NPI:1265642672
Name:HOWELL, GENE NORRIS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:NORRIS
Last Name:HOWELL
Suffix:JR
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 1:107 DUMAS RD
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38663-7871
Mailing Address - Country:US
Mailing Address - Phone:662-837-8418
Mailing Address - Fax:662-837-7151
Practice Address - Street 1:107 DUMAS RD
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:MS
Practice Address - Zip Code:38663-7871
Practice Address - Country:US
Practice Address - Phone:662-837-8418
Practice Address - Fax:662-837-7151
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1839-79122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0064763Medicaid