Daryl Grant Holdredge in Green Bay - Dentist
Daryl Grant Holdredge - NPI 1619991916
Daryl Grant Holdredge is a Dentist in Green Bay, Wisconsin. Daryl Grant Holdredge practices all healthcare services and medical treatments related to Dentist. The NPI Number for Daryl Grant Holdredge is 1619991916. The last update date is 2007-07-08.
Daryl Grant Holdredge's current location address is 1231 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204377188. The mailing address for Daryl Grant Holdredge is 1231 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daryl Grant Holdredge |
|---|---|
| Address | 1231 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9204377188 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619991916 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1231 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543013007 |
| Phone Number | 9204377188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4401 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Daryl Grant Holdredge's 1619991916?
The Daryl Grant Holdredge's NPI (National Provider Identifier) Number is 1619991916. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Daryl Grant Holdredge is located?
The Daryl Grant Holdredge is situated at the following address: 1231 S Webster Ave, Green Bay, WI, 543013007.
What is Daryl Grant Holdredge's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Daryl Grant Holdredge is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619991916 to Daryl Grant Holdredge?
The Daryl Grant Holdredge received its 1619991916 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date were the details pertaining to Daryl Grant Holdredge last refreshed?
The information related to the Daryl Grant Holdredge, including its address, specialty, and other relevant details, was last updated on 2007-07-08.