Provider Demographics
NPI:1932510005
Name:ROBERT J. HOWARD D.M.D., P.C.
Entity Type:Organization
Organization Name:ROBERT J. HOWARD D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:334-566-1999
Mailing Address - Street 1:705 S GEORGE WALLACE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-3824
Mailing Address - Country:US
Mailing Address - Phone:334-566-1999
Mailing Address - Fax:334-566-1998
Practice Address - Street 1:705 S GEORGE WALLACE DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3824
Practice Address - Country:US
Practice Address - Phone:334-566-1999
Practice Address - Fax:334-566-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3340305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization