Provider Demographics
NPI:1386317329
Name:HOWELL, ASHLEY BRIDGES (DMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:BRIDGES
Last Name:HOWELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-7387
Mailing Address - Country:US
Mailing Address - Phone:601-479-4475
Mailing Address - Fax:
Practice Address - Street 1:130 LAKE FOREST DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-7387
Practice Address - Country:US
Practice Address - Phone:601-479-4475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS4237-21122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist