MEDICARE: DR. CHERYLL HOWARD DDS

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	122300000X	Dentist	D009684	AZ

General Provider Information

NPI Number	:	1063871317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYLL HOWARD DDS

Provider Business Mailing Address
First Line	:	10157 W PICCADILLY RD
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85392-1403
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1619 N DYSART RD STE 105
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85392-1200
Country	:	US
Telephone Number	:	623-688-5596
Fax Number	:

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

Provider Enumeration Date	:	02/15/2016
Last Update Date	:	02/09/2026

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