Healthcare Provider Details
I. General information
NPI: 1629050109
Provider Name (Legal Business Name): DR. MICHAEL W HOWELL
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/18/2005
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5900 W CHESTER RD STE A
WEST CHESTER OH
45069-2951
US
IV. Provider business mailing address
5900 W CHESTER RD STE A
WEST CHESTER OH
45069-2951
US
V. Phone/Fax
- Phone: 630-819-4181
- Fax:
- Phone: 630-819-4181
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 4946 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: