Provider Demographics
NPI:1306002845
Name:HOWARTH, JOHN HARVEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HARVEY
Last Name:HOWARTH
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 1:5630 WATERBURY WAY
Mailing Address - Street 2:B210
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1182
Mailing Address - Country:US
Mailing Address - Phone:801-272-4621
Mailing Address - Fax:801-277-1998
Practice Address - Street 1:5630 WATERBURY WAY
Practice Address - Street 2:B210
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84121-1182
Practice Address - Country:US
Practice Address - Phone:801-272-4621
Practice Address - Fax:801-277-1998
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13406799221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice