Provider Demographics
NPI:1285634063
Name:HOWARD, DANIEL K (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:K
Last Name:HOWARD
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:PO BOX 538
Mailing Address - Street 2:
Mailing Address - City:MORRILL
Mailing Address - State:NE
Mailing Address - Zip Code:69358-0538
Mailing Address - Country:US
Mailing Address - Phone:308-247-3381
Mailing Address - Fax:308-247-2809
Practice Address - Street 1:302 COUNTY RD
Practice Address - Street 2:
Practice Address - City:MORRILL
Practice Address - State:NE
Practice Address - Zip Code:69358-4526
Practice Address - Country:US
Practice Address - Phone:308-247-3381
Practice Address - Fax:308-247-2809
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4744122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47064655900Medicaid
NE06262OtherBCBS OF NE