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Individual

DR. JASON M HOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
10640 DIXIE HWY, LOUISVILLE, KY 40272-4350
(502) 933-4427
(502) 935-6538
Mailing address
8302 DRAVO CIR, LOUISVILLE, KY 40220-5814
(502) 235-9575
(502) 894-0342

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7979
KY
1223D0001X
Public Health Dentistry
7979
KY
1223G0001X
General Practice Dentistry
7979
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100254720
KY
Enumeration date
02/07/2006
Last updated
06/23/2014
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