MEDICARE: MR. HUGH J HOWARD 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	142643	UT

General Provider Information

NPI Number	:	1609980739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HUGH J HOWARD D.D.S.

Provider Business Mailing Address
First Line	:	144 S STATE ST
Second Line	:	P.O BOX 888
City	:	LA VERKIN
State	:	UT
Zip	:	84745-5600
Country	:	US
Telephone Number	:	435-635-4244
Fax Number	:	435-635-3308

Provider Business Practice Location Address
First Line	:	144 S STATE ST
Second Line	:
City	:	LA VERKIN
State	:	UT
Zip	:	84745-5600
Country	:	US
Telephone Number	:	435-635-4244
Fax Number	:	435-635-3308

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/08/2007

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