Provider Demographics
NPI:1598853905
Name:HOWARD, DAVID R (DMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:HOWARD
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 1:1325 NE 42ND ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34479-8635
Mailing Address - Country:US
Mailing Address - Phone:352-732-4881
Mailing Address - Fax:352-732-7822
Practice Address - Street 1:1325 NE 42ND ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34479-8635
Practice Address - Country:US
Practice Address - Phone:352-732-4881
Practice Address - Fax:352-732-7822
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00138031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice