Provider Demographics
NPI:1245683507
Name:HOWE, MARTINA (DDS)
Entity type:Individual
Prefix:
First Name:MARTINA
Middle Name:
Last Name:HOWE
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 1:22 COLBURN ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1069
Mailing Address - Country:US
Mailing Address - Phone:240-586-9038
Mailing Address - Fax:
Practice Address - Street 1:72 LANDMARK HILL DR
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-9168
Practice Address - Country:US
Practice Address - Phone:802-254-9244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0160122713122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist