Provider Demographics
NPI:1750456505
Name:FLORENCE, HOWELL WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWELL
Middle Name:WILLIAM
Last Name:FLORENCE
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 1:307A EAST CLINTON
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75751-3405
Mailing Address - Country:US
Mailing Address - Phone:903-675-8505
Mailing Address - Fax:903-675-9429
Practice Address - Street 1:307A EAST CLINTON
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-3405
Practice Address - Country:US
Practice Address - Phone:903-675-8505
Practice Address - Fax:903-675-9429
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10116122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist