Provider Demographics
NPI:1740209121
Name:HOWE, CHAD V (DDS)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:V
Last Name:HOWE
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 1:4902 S. 1900 W.
Mailing Address - Street 2:SUITE #1
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067
Mailing Address - Country:US
Mailing Address - Phone:801-731-0428
Mailing Address - Fax:801-825-7042
Practice Address - Street 1:4902 S 1900 W
Practice Address - Street 2:SUITE #1
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-2993
Practice Address - Country:US
Practice Address - Phone:801-731-0428
Practice Address - Fax:801-825-7042
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT49260871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice