Provider Demographics
NPI:1942420229
Name:HOWARD, DAVID S (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
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 1:225 N MAIN
Mailing Address - Street 2:BOX 2060
Mailing Address - City:BEAVER
Mailing Address - State:UT
Mailing Address - Zip Code:84713
Mailing Address - Country:US
Mailing Address - Phone:435-438-2931
Mailing Address - Fax:435-438-5304
Practice Address - Street 1:225 N MAIN
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:UT
Practice Address - Zip Code:84713
Practice Address - Country:US
Practice Address - Phone:435-438-2931
Practice Address - Fax:435-438-5304
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT145596-99231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice