Provider Demographics
NPI:1538226675
Name:DEUTSCH, HOWARD I (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:I
Last Name:DEUTSCH
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 1:172 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-5442
Mailing Address - Country:US
Mailing Address - Phone:973-473-0340
Mailing Address - Fax:973-473-8073
Practice Address - Street 1:172 MAIN AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-5442
Practice Address - Country:US
Practice Address - Phone:973-473-0340
Practice Address - Fax:973-473-8073
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ117471223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics