John Robert Holt in Lubbock - Dentist Anesthesiologist
John Robert Holt - NPI 1336125384
John Robert Holt is a Dentist Anesthesiologist in Lubbock, Texas. John Robert Holt practices all healthcare services and medical treatments related to Dentist Anesthesiologist. The NPI Number for John Robert Holt is 1336125384. The last update date is 2013-11-19.
John Robert Holt's current location address is 2309 York Ave, Lubbock, Texas. You can contact this provider via phone number 8067830520 and fax number 8067830674. The mailing address for John Robert Holt is 2309 York Ave, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Robert Holt |
|---|---|
| Address | 2309 York Ave, Lubbock, Texas |
| Phone Number | 8067830520 |
| Fax Number | 8067830674 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1336125384 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2013-11-19 |
Provider Mailing Address Detail
| Address | 2309 York Ave |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794072286 |
| Phone Number | 8067830520 |
| Fax Number | 8067830674 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist Anesthesiologist |
|---|---|
| Taxonomy | 1223D0004X |
| Licence No | 15567 |
|
Definition: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residenc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 902165 | TX | -- | |
| 75-2277547 | TX | FEDERAL TAX ID | |
| K53H | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John Robert Holt by the Centers for Medicare & Medicaid Services?
The John Robert Holt has been assigned the NPI (National Provider Identifier) 1336125384 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where John Robert Holt is physically located?
The John Robert Holt is situated at the following address: 2309 York Ave, Lubbock, TX 794072286.
What is John Robert Holt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Robert Holt is Dentist Anesthesiologist, and the corresponding taxonomy classification code for this specialized field is 1223D0004X.
On what date did John Robert Holt receive its 1336125384 assignment from the Centers for Medicare & Medicaid Services?
The John Robert Holt was assigned its 1336125384 on 2005-12-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding John Robert Holt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Robert Holt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-11-19.