MEDICARE: DR. EVERETT HOWELL D.D.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
1	1223G0001X	General Practice Dentistry	5690	NV
2	1223G0001X	General Practice Dentistry	55434	CA
3	1223G0001X	General Practice Dentistry	23163	TX

General Provider Information

NPI Number	:	1356568273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVERETT HOWELL D.D.S

Provider Business Mailing Address
First Line	:	2047 W CHARLESTON BLVD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2251
Country	:	US
Telephone Number	:	702-382-0380
Fax Number	:

Provider Business Practice Location Address
First Line	:	2047 W CHARLESTON BLVD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2251
Country	:	US
Telephone Number	:	702-382-0380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	12/02/2011

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Directions to “ DR. EVERETT HOWELL D.D.S” Practice Location

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