Stephen J Howard, DDS

Individual provider Active NPI Pediatric Dentistry · Tarzana, CA

NPI 1083770697 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1083770697
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
26182 (CA)
Practice address
18411 Clark St
#306
Tarzana, CA 91356-3506
Phone
(818) 343-9119
Fax
(818) 343-3908
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26182CAMDPediatric Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 26182 CA Yes

Addresses

Primary practice location

18411 Clark St
#306
Tarzana, CA 91356-3506

Mailing address

18411 Clark St
#306
Tarzana, CA 91356-3506
Phone (818) 343-9119

Other providers in Tarzana, CA

All providers in Tarzana, CA · Pediatric Dentistry in California

Sources for this page

Verify at the official NPI Registry.