Robert Kent Howell, DMD
Individual provider Active NPI Dentist · Lady Lake, FL
NPI 1689804247 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1689804247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN 18724 (FL)
- Practice address
- 838 Highway 466
Lady Lake, FL 32159-3918 - Phone
- (352) 750-0300
- Fax
- (352) 750-1018
- NPI assigned
- Jul 16, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 18724 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tavares Dental PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 18724 | FL | Yes |
Addresses
Primary practice location
838 Highway 466
Lady Lake, FL 32159-3918
Mailing address
838 Highway 466
Lady Lake, FL 32159-3918
Phone (352) 750-0300
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.