MEDICARE: DR. JASON RONALD HOWELL D.M.D.

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	8083	KY

General Provider Information

NPI Number	:	1750421517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON RONALD HOWELL D.M.D.

Provider Business Mailing Address
First Line	:	503 WESTWOOD DR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40243-2046
Country	:	US
Telephone Number	:	502-254-3913
Fax Number	:

Provider Business Practice Location Address
First Line	:	3564 WILLOW WAY
Second Line	:
City	:	SHEPHERDSVILLE
State	:	KY
Zip	:	40165-8984
Country	:	US
Telephone Number	:	502-955-1606
Fax Number	:

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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