MEDICARE: DR. HOWARD KERR VAN NESS D.D.S.

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	DE 0000 9285	WA

General Provider Information

NPI Number	:	1093792848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD KERR VAN NESS D.D.S.

Provider Business Mailing Address
First Line	:	1356 BARTLETT CT NW
Second Line	:
City	:	SILVERDALE
State	:	WA
Zip	:	98383-8931
Country	:	US
Telephone Number	:	360-536-5114
Fax Number	:

Provider Business Practice Location Address
First Line	:	USS JOHN C. STENNIS, CVN 74
Second Line	:	DENTAL DEPARTMENT BOX 66,
City	:	FPO AP
State	:	WA
Zip	:	96615
Country	:	US
Telephone Number	:	360-925-2550
Fax Number	:

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. HOWARD KERR VAN NESS D.D.S.” Practice Location

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