Howard Family Dental-Pooler, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HOWARD FAMILY DENTAL-POOLER, LLC

Doing business as

Howard Family Dental - Pooler North

Practice address

810 Towne Center Blvd Unit 107
Pooler, GA 31322-4303

Phone

(502) 254-8500

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Pardue

Title

Director of Revenue Cycle

Phone

(502) 548-2402

Specialties & licenses 1

Addresses

Other names 1

• Howard Family Dental - Pooler North Doing business as

Tax ID family

Howard Family Dental - Pooler North2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Howard Family Dental-Pooler, LLC

  dba Howard Family Dental - Pooler South

  • General Practice Dentistry
  • Pooler, GA
  • NPI 1295853323
  NPD tax ID

Locations

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1891514790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169",
            "telephone_number": "502-548-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 TOWNE CENTER BLVD UNIT 107",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224303",
            "telephone_number": "502-254-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD FAMILY DENTAL-POOLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "PARDUE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "502-548-2402"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Family Dental - Pooler North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Anne Holland, C.L.C.
• Pamela Diane Holland, IBCLC
• Hope Hand & Arm Therapy LLC
• Erin Marie Hopper, DMD
• Howard Family Dental-Pooler, LLC (Howard Family Dental - Pooler South)
• Ashenna Howard, RBT
• Julia K Howard, DMD
• Karley Noelle Howard
• Anne Elizabeth Hudson
• Kerri Jo Hudson, AU.D.

• General Practice Dentistry in Pooler, GA
• Providers in Pooler, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.