Provider Demographics
NPI:1376710525
Name:AUBE, HOWARD J (DDS INC)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:J
Last Name:AUBE
Suffix:
Gender:M
Credentials:DDS INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:EDGERTON
Mailing Address - State:OH
Mailing Address - Zip Code:43517-0700
Mailing Address - Country:US
Mailing Address - Phone:419-298-2116
Mailing Address - Fax:
Practice Address - Street 1:127 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:OH
Practice Address - Zip Code:43517-9322
Practice Address - Country:US
Practice Address - Phone:419-298-2116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18448122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist