Provider Demographics
NPI:1992138887
Name:HOWD, JENNIFER LYNN (RDH)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:HOWD
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:HECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:5600 NE 292ND CRT
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7291
Mailing Address - Country:US
Mailing Address - Phone:360-834-2673
Mailing Address - Fax:
Practice Address - Street 1:5600 NE 292ND CT
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7291
Practice Address - Country:US
Practice Address - Phone:360-834-2673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH 00006954124Q00000X
ORH5976124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist