Provider Demographics
NPI:1689824484
Name:HOWARD, STEVEN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6836 MORRISON BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-3147
Mailing Address - Country:US
Mailing Address - Phone:980-202-5888
Mailing Address - Fax:505-212-0158
Practice Address - Street 1:6836 MORRISON BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2612
Practice Address - Country:US
Practice Address - Phone:980-202-5888
Practice Address - Fax:505-212-0158
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD18771223G0001X, 1223P0300X
TX174211223G0001X, 1223P0300X
IL4300-0151223G0001X
AZ50161223G0001X, 1223P0300X
NC10243122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
No1223P0300XDental ProvidersDentistPeriodontics