Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 4289 | NC |
NPI | 1003838368 |
---|---|
Provider Name | Dr. Daniel Thorne Howell |
First Address | Cary, NC 27511-5562 |
Second Address | Cary, NC 27511-5562 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7994180 | (05) | NC |
94180 | (02) | NC |