Provider Demographics
NPI:1417018177
Name:FINE, HOWARD INGRAM SCHILLING (DMD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:INGRAM SCHILLING
Last Name:FINE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WILLOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5416
Mailing Address - Country:US
Mailing Address - Phone:914-393-0394
Mailing Address - Fax:
Practice Address - Street 1:15 FISHER LN
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-2222
Practice Address - Country:US
Practice Address - Phone:914-949-1164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048245122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist