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NPI Code Detail

MEDICARE: JEFFREY LAWRENCE HOWENSTEIN D.M.D., M.S.

MEDICARE:   JEFFREY LAWRENCE HOWENSTEIN  D.M.D., M.S.
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
1390200000XStudent in an Organized Health Care Education/Training Program
21223P0221XPediatric DentistryDDS-09073IA

General Provider Information

NPI Number : 1063770808
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY LAWRENCE HOWENSTEIN D.M.D., M.S.
Provider Business Mailing Address
First Line : 708 RED CEDAR CT
Second Line :
City : JEFFERSON
State : SD
Zip : 57038-6898
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 711 N SIOUX POINT RD
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5099
Country : US
Telephone Number : 605-242-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2012
Last Update Date : 05/27/2014

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Directions to “ JEFFREY LAWRENCE HOWENSTEIN D.M.D., M.S.” Practice Location

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