Healthcare Provider Details
I. General information
NPI: 1497896252
Provider Name (Legal Business Name): HOWARD LESTER HOWELL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2005 THONOTOSASSA RD
PLANT CITY FL
33563-2972
US
IV. Provider business mailing address
701 SPOTTIS WOODE LN
CLEARWATER FL
33756-5267
US
V. Phone/Fax
- Phone: 813-752-3555
- Fax: 813-752-9274
- Phone: 727-415-2000
- Fax: 727-448-0049
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | 6830 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: