Healthcare Provider Details

I. General information

NPI: 1609094994
Provider Name (Legal Business Name): RAYMOND P. HOWE, D.D.S., M.S., P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 S MAIN ST SUITE 1
CHELSEA MI
48118-1504
US

IV. Provider business mailing address

515 S MAIN ST SUITE 1
CHELSEA MI
48118-1504
US

V. Phone/Fax

Practice location:
  • Phone: 734-475-2260
  • Fax:
Mailing address:
  • Phone: 734-475-2260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number2901011314
License Number StateMI

VIII. Authorized Official

Name: DR. RAYMOND PAUL HOWE
Title or Position: DR. RAYMOND P. HOWE
Credential: D.D.S., M.S.
Phone: 734-475-2260