Healthcare Provider Details

I. General information

NPI: 1053300343
Provider Name (Legal Business Name): HOWARD SEPLOWITZ DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MAIN ST
STONEHAM MA
02180-3317
US

IV. Provider business mailing address

106 MAIN ST PO BOX 287
STONEHAM MA
02180-3317
US

V. Phone/Fax

Practice location:
  • Phone: 781-438-0331
  • Fax:
Mailing address:
  • Phone: 781-438-0331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number13101
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number13101
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: