Provider Demographics
NPI:1609980739
Name:HOWARD, HUGH J (DDS)
Entity Type:Individual
Prefix:MR
First Name:HUGH
Middle Name:J
Last Name:HOWARD
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 1:144 S STATE ST
Mailing Address - Street 2:P.O BOX 888
Mailing Address - City:LA VERKIN
Mailing Address - State:UT
Mailing Address - Zip Code:84745-5600
Mailing Address - Country:US
Mailing Address - Phone:435-635-4244
Mailing Address - Fax:435-635-3308
Practice Address - Street 1:144 S STATE ST
Practice Address - Street 2:
Practice Address - City:LA VERKIN
Practice Address - State:UT
Practice Address - Zip Code:84745-5600
Practice Address - Country:US
Practice Address - Phone:435-635-4244
Practice Address - Fax:435-635-3308
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1426431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice