Provider Demographics
NPI:1942214424
Name:HAUSMAN, HOWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:HAUSMAN
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 1:813 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2065
Mailing Address - Country:US
Mailing Address - Phone:413-567-1223
Mailing Address - Fax:413-567-1224
Practice Address - Street 1:813 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-2065
Practice Address - Country:US
Practice Address - Phone:413-567-1223
Practice Address - Fax:413-567-1224
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA147391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0267708Medicaid