Provider Demographics
NPI:1942315064
Name:HOWARD, STEPHEN G (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:G
Last Name:HOWARD
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 1:6328 E BROWN RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4841
Mailing Address - Country:US
Mailing Address - Phone:480-325-7639
Mailing Address - Fax:480-654-8965
Practice Address - Street 1:6328 E BROWN RD STE 105
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4841
Practice Address - Country:US
Practice Address - Phone:480-325-7639
Practice Address - Fax:480-654-8965
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK13281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice