Healthcare Provider Details

I. General information

NPI: 1205516077
Provider Name (Legal Business Name): ERIC W. HOWARD DMD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2847 WILLOW STREET PIKE N
WILLOW STREET PA
17584-9217
US

IV. Provider business mailing address

2847 WILLOW STREET PIKE N
WILLOW STREET PA
17584-9217
US

V. Phone/Fax

Practice location:
  • Phone: 717-464-0177
  • Fax:
Mailing address:
  • Phone: 717-464-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CASSANDRA WIETH
Title or Position: DIRECTOR OF PAYER RELATIONS
Credential:
Phone: 623-267-8121