Provider Demographics
NPI:1346899572
Name:HOWE, DEREK WESLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEREK
Middle Name:WESLEY
Last Name:HOWE
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 1:153 RAUCH DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-9756
Mailing Address - Country:US
Mailing Address - Phone:740-525-0777
Mailing Address - Fax:
Practice Address - Street 1:1309 GREENE ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-9172
Practice Address - Country:US
Practice Address - Phone:740-374-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0259761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice