Provider Demographics
NPI:1376598417
Name:HOWELLS, DAVID (DDS PA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:HOWELLS
Suffix:
Gender:M
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 EDINBROOK PKWY N
Mailing Address - Street 2:STE D
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3735
Mailing Address - Country:US
Mailing Address - Phone:763-424-3555
Mailing Address - Fax:763-424-9605
Practice Address - Street 1:8500 EDINBROOK PKWY N
Practice Address - Street 2:STE D
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3735
Practice Address - Country:US
Practice Address - Phone:763-424-3555
Practice Address - Fax:763-424-9605
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9348122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN225520100OtherHEALTH CARE PROGRAMS