Provider Demographics
NPI:1881262772
Name:HAROLD H. HOWELL III DMD
Entity type:Organization
Organization Name:HAROLD H. HOWELL III DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:304-369-2034
Mailing Address - Street 1:407 STATE ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WV
Mailing Address - Zip Code:25130-1422
Mailing Address - Country:US
Mailing Address - Phone:304-369-2034
Mailing Address - Fax:304-369-3086
Practice Address - Street 1:407 STATE ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WV
Practice Address - Zip Code:25130-1422
Practice Address - Country:US
Practice Address - Phone:304-369-2034
Practice Address - Fax:304-369-3086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV4519OtherWV LICENSE NUMBER
WV3069OtherWV LICENSE NUMBER