Provider Demographics
NPI:1487077095
Name:HOWORTH, TOM CLAYTON (DDS)
Entity type:Individual
Prefix:DR
First Name:TOM
Middle Name:CLAYTON
Last Name:HOWORTH
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:PO BOX 1655
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-1655
Mailing Address - Country:US
Mailing Address - Phone:817-360-5898
Mailing Address - Fax:
Practice Address - Street 1:350 BRIARWOOD LN
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-3963
Practice Address - Country:US
Practice Address - Phone:817-360-5898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8192122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist