Provider Demographics
NPI:1205957115
Name:NOVAK, HOWARD A (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:A
Last Name:NOVAK
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:PO BOX 43
Mailing Address - Street 2:72 BRIDGE STREET
Mailing Address - City:RICHMOND
Mailing Address - State:VT
Mailing Address - Zip Code:05477-0043
Mailing Address - Country:US
Mailing Address - Phone:802-434-3700
Mailing Address - Fax:
Practice Address - Street 1:72 BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VT
Practice Address - Zip Code:05477
Practice Address - Country:US
Practice Address - Phone:802-434-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT10691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice