Provider Demographics
NPI:1629394077
Name:TRAVIS M. HOWEY, DDS & ASSOCIATES,PLLC
Entity Type:Organization
Organization Name:TRAVIS M. HOWEY, DDS & ASSOCIATES,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOWEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-933-3300
Mailing Address - Street 1:601 N MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-6304
Mailing Address - Country:US
Mailing Address - Phone:509-933-3300
Mailing Address - Fax:509-933-3311
Practice Address - Street 1:601 N MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-6304
Practice Address - Country:US
Practice Address - Phone:509-933-3300
Practice Address - Fax:509-933-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA103171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty