Provider Demographics
NPI:1477681872
Name:DRS. HOWELL, WHITEHEAD AND ASSOCIATES, PA
Entity Type:Organization
Organization Name:DRS. HOWELL, WHITEHEAD AND ASSOCIATES, PA
Other - Org Name:THE TOOTH CABOOSE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:WHITEHEAD
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:727-441-8963
Mailing Address - Street 1:2005 THONOTOSASSA ROAD
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566
Mailing Address - Country:US
Mailing Address - Phone:813-752-3555
Mailing Address - Fax:813-752-9274
Practice Address - Street 1:2005 THONOTOSASSA RD
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-2972
Practice Address - Country:US
Practice Address - Phone:813-752-3555
Practice Address - Fax:727-752-9274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty