Provider Demographics
NPI:1255363834
Name:HOWELL, WALTER GASH (DDS)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:GASH
Last Name:HOWELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2721 HORSE PEN CREEK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8387
Mailing Address - Country:US
Mailing Address - Phone:336-323-2822
Mailing Address - Fax:336-323-2876
Practice Address - Street 1:2721 HORSE PEN CREEK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8387
Practice Address - Country:US
Practice Address - Phone:336-323-2822
Practice Address - Fax:336-323-2876
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC56041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice