Provider Demographics
NPI:1366610982
Name:REBECCA L.HOWE, D.D.S.
Entity type:Organization
Organization Name:REBECCA L.HOWE, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-272-6497
Mailing Address - Street 1:1011 W FRIENDLY AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1862
Mailing Address - Country:US
Mailing Address - Phone:336-272-6497
Mailing Address - Fax:336-274-5156
Practice Address - Street 1:1011 W FRIENDLY AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1862
Practice Address - Country:US
Practice Address - Phone:336-272-6497
Practice Address - Fax:336-274-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-17
Last Update Date:2008-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5502122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8994176Medicaid