Provider Demographics
NPI:1447389788
Name:MINTZ, HOWARD ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ALAN
Last Name:MINTZ
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 1:7 ASHBROOK DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4318
Mailing Address - Country:US
Mailing Address - Phone:732-381-1619
Mailing Address - Fax:
Practice Address - Street 1:2412 PLAINFIELD AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-3531
Practice Address - Country:US
Practice Address - Phone:908-755-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ127271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice