Provider Demographics
NPI:1174799647
Name:SPECTOR, HOWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:SPECTOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6649 N HIGH ST
Mailing Address - Street 2:STE 201
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4070
Mailing Address - Country:US
Mailing Address - Phone:614-436-8336
Mailing Address - Fax:614-436-2299
Practice Address - Street 1:6649 N HIGH ST
Practice Address - Street 2:STE 201
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4070
Practice Address - Country:US
Practice Address - Phone:614-436-8336
Practice Address - Fax:614-436-2299
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19695122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist