Provider Demographics
NPI:1932345543
Name:DR. SAMANTHA HOWARD, DMD, PC
Entity Type:Organization
Organization Name:DR. SAMANTHA HOWARD, DMD, PC
Other - Org Name:HOWARD FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-489-3482
Mailing Address - Street 1:25734 HIGHWAY 195
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DOUBLE SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:35553-2308
Mailing Address - Country:US
Mailing Address - Phone:205-489-3482
Mailing Address - Fax:205-489-5552
Practice Address - Street 1:25734 HIGHWAY 195
Practice Address - Street 2:SUITE 100
Practice Address - City:DOUBLE SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:35553-2308
Practice Address - Country:US
Practice Address - Phone:205-489-3482
Practice Address - Fax:205-489-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental