Organization Active NPI

Howard Dental, LLC

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1457073967
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HOWARD DENTAL, LLC
Practice address
6328 E Brown Rd Ste 105
Mesa, AZ 85205-4841
Phone
(480) 325-7639
Fax
(480) 654-8965
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen G Howard, DDSNPI 1942315064
Title
Manager
Phone
(907) 229-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6328 E Brown Rd Ste 105
Mesa, AZ 85205-4841

Mailing address

6328 E Brown Rd Ste 105
Mesa, AZ 85205-4841
Phone (480) 325-7639

Other identifiers 1

IdentifierTypeStateIssuer
087592MedicaidAZ

Other names 1

  • Freedom Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1457073967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 E BROWN RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054841",
            "telephone_number": "480-325-7639",
            "fax_number": "480-654-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 E BROWN RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054841",
            "telephone_number": "480-325-7639",
            "fax_number": "480-654-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-229-1325",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.