Provider Demographics
NPI:1326340340
Name:DR. MATTHEW D. HOWELL D.D.S., P.A.
Entity Type:Organization
Organization Name:DR. MATTHEW D. HOWELL D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:316-260-6220
Mailing Address - Street 1:1145 N. ANDOVER RD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002
Mailing Address - Country:US
Mailing Address - Phone:316-260-6220
Mailing Address - Fax:
Practice Address - Street 1:1145 N ANDOVER RD
Practice Address - Street 2:SUITE #101
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-8900
Practice Address - Country:US
Practice Address - Phone:316-260-6220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty