MEDICARE: DR. RICHARD W 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	1223G0001X	General Practice Dentistry	4568	OK

General Provider Information

NPI Number	:	1205865565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD W HOWELL D.D.S.

Provider Business Mailing Address
First Line	:	3530 N MACARTHUR BLVD STE 5
Second Line	:
City	:	WARR ACRES
State	:	OK
Zip	:	73122-1618
Country	:	US
Telephone Number	:	405-949-0785
Fax Number	:	405-949-1159

Provider Business Practice Location Address
First Line	:	3530 N MACARTHUR BLVD
Second Line	:	STE 5
City	:	WARR ACRES
State	:	OK
Zip	:	73122-1618
Country	:	US
Telephone Number	:	405-949-0785
Fax Number	:	405-949-1159

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/08/2007

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