Healthcare Provider Details

I. General information

NPI: 1114195344
Provider Name (Legal Business Name): JOSEPH ROBERT HOWARD DDS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 10/10/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

836 FARMINGTON AVE STE 223
WEST HARTFORD CT
06119
US

IV. Provider business mailing address

836 FARMINGTON AVE STE 223
WEST HARTFORD CT
06119
US

V. Phone/Fax

Practice location:
  • Phone: 203-790-0183
  • Fax: 203-743-7401
Mailing address:
  • Phone: 203-790-0183
  • Fax: 203-743-7401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number009831
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number046141
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: