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NPI Code Detail

MEDICARE: DR. BENJAMIN R HOWARD D.D.S.

MEDICARE: DR. BENJAMIN R HOWARD 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
1122300000XDentistDS3330TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487642625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN R HOWARD D.D.S.
Provider Business Mailing Address
First Line : 224 OLD MILL RD
Second Line : PO BOX 327
City : WARTBURG
State : TN
Zip : 37887-4163
Country : US
Telephone Number : 423-346-6660
Fax Number :
Provider Business Practice Location Address
First Line : 224 OLD MILL RD
Second Line :
City : WARTBURG
State : TN
Zip : 37887-4163
Country : US
Telephone Number : 423-346-6660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/08/2007

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