MEDICARE: DR. JAHA V HOWARD D.D.S., M.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	1223P0221X	Pediatric Dentistry	DN013875	GA

General Provider Information

NPI Number	:	1699973487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAHA V HOWARD D.D.S., M.S.

Provider Business Mailing Address
First Line	:	4300 PACES FERRY RD SE
Second Line	:	SUITE 405
City	:	ATLANTA
State	:	GA
Zip	:	30339-5703
Country	:	US
Telephone Number	:	678-391-7453
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 PACES FERRY RD SE
Second Line	:	SUITE 405
City	:	ATLANTA
State	:	GA
Zip	:	30339-5703
Country	:	US
Telephone Number	:	678-391-7453
Fax Number	:

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	01/24/2012

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