Provider Demographics
NPI:1699065649
Name:HOWARD, RONNI JO (RDH)
Entity type:Individual
Prefix:
First Name:RONNI
Middle Name:JO
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:RONNI
Other - Middle Name:JO
Other - Last Name:BUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 34703
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1703
Mailing Address - Country:US
Mailing Address - Phone:253-681-6626
Mailing Address - Fax:
Practice Address - Street 1:19005 SE 34TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-1450
Practice Address - Country:US
Practice Address - Phone:360-726-6730
Practice Address - Fax:360-726-6731
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH 60035168124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist