MEDICARE: DR. RONALD W. HOWLAND JR. DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11464	FL

General Provider Information

NPI Number	:	1063594125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD W. HOWLAND JR. DMD

Provider Business Mailing Address
First Line	:	3209 SAWGRASS VILLAGE CIR
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-5033
Country	:	US
Telephone Number	:	904-273-0700
Fax Number	:	904-280-4202

Provider Business Practice Location Address
First Line	:	3209 SAWGRASS VILLAGE CIR
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-5033
Country	:	US
Telephone Number	:	904-273-0700
Fax Number	:	904-280-4202

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	12/07/2009

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