Provider Demographics
NPI:1942228424
Name:HOWARD, BERTA I (DDS)
Entity Type:Individual
Prefix:DR
First Name:BERTA
Middle Name:I
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 MILLVILLE OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-4476
Mailing Address - Country:US
Mailing Address - Phone:513-867-8459
Mailing Address - Fax:513-867-8406
Practice Address - Street 1:257 MILLVILLE OXFORD RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-4476
Practice Address - Country:US
Practice Address - Phone:513-867-8459
Practice Address - Fax:513-867-8406
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice