Provider Demographics
NPI:1831563253
Name:HOWARD JUE DDS, PLLC
Entity type:Organization
Organization Name:HOWARD JUE DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:TAK-CHUEN
Authorized Official - Last Name:JUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-776-0124
Mailing Address - Street 1:23632 HIGHWAY 99
Mailing Address - Street 2:SUITE F 267
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-9211
Mailing Address - Country:US
Mailing Address - Phone:425-776-0124
Mailing Address - Fax:
Practice Address - Street 1:23713 EDMONDS WAY
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8977
Practice Address - Country:US
Practice Address - Phone:425-776-0124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE600749571223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty