MEDICARE: DR. MATTHEW HOWELL 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	DGD.8556GD	SC

General Provider Information

NPI Number	:	1194106062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW HOWELL D.D.S.

Provider Business Mailing Address
First Line	:	516 FENTON PL
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-8691
Country	:	US
Telephone Number	:	704-576-3775
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 FENTON PL
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-8691
Country	:	US
Telephone Number	:	704-576-3775
Fax Number	:

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

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	06/16/2015

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