Provider Demographics
NPI:1699868570
Name:HOWARD, ROY EMERY (DDS)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:EMERY
Last Name:HOWARD
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 1:9059 SOQUEL DR STE A
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4067
Mailing Address - Country:US
Mailing Address - Phone:831-688-6531
Mailing Address - Fax:831-688-6584
Practice Address - Street 1:9059 SOQUEL DR STE A
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4067
Practice Address - Country:US
Practice Address - Phone:831-688-6531
Practice Address - Fax:831-688-6584
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26181122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist