Provider Demographics
NPI:1972859502
Name:HOWELL, TEDI J (DMD)
Entity Type:Individual
Prefix:
First Name:TEDI
Middle Name:J
Last Name:HOWELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:TEDI
Other - Middle Name:JEAN
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3116 SADDLE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8645
Mailing Address - Country:US
Mailing Address - Phone:406-449-0189
Mailing Address - Fax:
Practice Address - Street 1:3116 SADDLE DR STE 1
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8645
Practice Address - Country:US
Practice Address - Phone:406-449-0189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTDEN-DEN-LIC-261291223P0221X
MO20120222461223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
Yes1223P0221XDental ProvidersDentistPediatric Dentistry