MEDICARE: LARRY S. 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
1	1223G0001X	General Practice Dentistry	3794	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518161090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARRY S. HOWELL

Provider Business Mailing Address
First Line	:	PO BOX 71946
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27722-1946
Country	:	US
Telephone Number	:	919-471-1502
Fax Number	:	919-471-1317

Provider Business Practice Location Address
First Line	:	5001 OLD FARM RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-1407
Country	:	US
Telephone Number	:	919-471-1502
Fax Number	:	919-471-1317

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	DR. LARRY S HOWELL
Credential	:	DDS
Telephone Number	:	919-471-1502

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	08/22/2020

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