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NPI Code Detail

MEDICARE: JONATHAN DAVID HOWELL

MEDICARE: JONATHAN DAVID HOWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7761NE

General Provider Information

NPI Number : 1023789245
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN DAVID HOWELL
Provider Business Mailing Address
First Line : 14735 N 84TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68122-1959
Country : US
Telephone Number : 402-968-2566
Fax Number : 402-372-5060
Provider Business Practice Location Address
First Line : 910 N LINCOLN ST
Second Line :
City : WEST POINT
State : NE
Zip : 68788-1002
Country : US
Telephone Number : 402-372-2418
Fax Number : 402-372-5060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2021
Last Update Date : 09/27/2021

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Directions to “ JONATHAN DAVID HOWELL ” Practice Location

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