Provider Demographics
NPI:1346303104
Name:HOWARD, BRANDY FAITH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:FAITH
Last Name:HOWARD
Suffix:
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 1:184 TURNBERRY
Mailing Address - Street 2:
Mailing Address - City:LA VERNIA
Mailing Address - State:TX
Mailing Address - Zip Code:78121-5111
Mailing Address - Country:US
Mailing Address - Phone:210-382-4529
Mailing Address - Fax:
Practice Address - Street 1:8050 LINDBERGH LNDG
Practice Address - Street 2:
Practice Address - City:BROOKS CITY-BASE
Practice Address - State:TX
Practice Address - Zip Code:78235-5334
Practice Address - Country:US
Practice Address - Phone:210-382-4529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22355122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist