Provider Demographics
NPI:1689653834
Name:MOHLER, HOWARD HANCOCK (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:HANCOCK
Last Name:MOHLER
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1601 MEDICAL ARTS BLVD
Mailing Address - Street 2:SUITE # 301
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46011-3458
Mailing Address - Country:US
Mailing Address - Phone:765-298-4400
Mailing Address - Fax:765-298-4940
Practice Address - Street 1:1601 MEDICAL ARTS BLVD
Practice Address - Street 2:SUITE # 301
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-3458
Practice Address - Country:US
Practice Address - Phone:765-298-4400
Practice Address - Fax:765-298-4940
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN12007044A1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery