Provider Demographics
NPI:1598863144
Name:HOWELL, HAROLD HARRY III (DMD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:HARRY
Last Name:HOWELL
Suffix:III
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 1:407 STATE ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WV
Mailing Address - Zip Code:25130-1422
Mailing Address - Country:US
Mailing Address - Phone:304-369-2034
Mailing Address - Fax:304-369-3086
Practice Address - Street 1:407 STATE ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WV
Practice Address - Zip Code:25130-1422
Practice Address - Country:US
Practice Address - Phone:304-369-2034
Practice Address - Fax:304-369-3086
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV30691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0133076000Medicaid