Provider Demographics
NPI:1063763886
Name:DODD, HOWARD TAFT (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:TAFT
Last Name:DODD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 HOSPITAL LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-3018
Mailing Address - Country:US
Mailing Address - Phone:615-255-9617
Mailing Address - Fax:
Practice Address - Street 1:3360 HOSPITAL LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-3018
Practice Address - Country:US
Practice Address - Phone:615-255-9617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000025431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice