=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366610982
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REBECCA L.HOWE, D.D.S.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2008
-----------------------------------------------------
Last Update Date | 02/17/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1011 W FRIENDLY AVE
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27401-1862
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-272-6497
-----------------------------------------------------
Fax | 336-274-5156
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1011 W FRIENDLY AVE
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27401-1862
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-272-6497
-----------------------------------------------------
Fax | 336-274-5156
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. REBECCA LOUISE HOWE
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 336-272-6497
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 5502
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------