Healthcare Provider Details

I. General information

NPI: 1295047124
Provider Name (Legal Business Name): SHEENA MICHELLE HOWELL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 3RD AVE STE 202
SAN DIEGO CA
92103-5639
US

IV. Provider business mailing address

3330 3RD AVE STE 202
SAN DIEGO CA
92103-5639
US

V. Phone/Fax

Practice location:
  • Phone: 619-298-9985
  • Fax: 619-298-6125
Mailing address:
  • Phone: 619-298-9985
  • Fax: 619-298-6125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number59853
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: