MEDICARE: DR. BRUCE E HOWELL DDS

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	9068	CO

General Provider Information

NPI Number	:	1790789071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE E HOWELL DDS

Provider Business Mailing Address
First Line	:	1260 S HOVER ST
Second Line	:	UNIT H
City	:	LONGMONT
State	:	CO
Zip	:	80501-7911
Country	:	US
Telephone Number	:	303-678-1125
Fax Number	:	303-678-8986

Provider Business Practice Location Address
First Line	:	6160 FIRESTONE BLVD
Second Line	:	SUITE 105
City	:	FIRESTONE
State	:	CO
Zip	:	80504-6427
Country	:	US
Telephone Number	:	303-532-3371
Fax Number	:	303-532-3375

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	12/15/2010

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