Bruce E Howell, DDS

Individual provider Active NPI General Practice Dentistry · Firestone, CO

NPI 1790789071 · NPPES record last updated Dec 15, 2010

Key facts

NPI
1790789071
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
9068 (CO)
Practice address
6160 Firestone Blvd
Suite 105
Firestone, CO 80504-6427
Phone
(303) 532-3371
Fax
(303) 532-3375
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
9068COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Firestone Dental Care, LLC General Practice Past Accepting new patients
Colorado Dhca, Longmont, PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9068 CO Yes

Addresses

Primary practice location

6160 Firestone Blvd
Suite 105
Firestone, CO 80504-6427

Mailing address

1260 S Hover St
Unit H
Longmont, CO 80501-7911
Phone (303) 678-1125

Other providers in Firestone, CO

All providers in Firestone, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.