Stacey R Holm is a General Practice in Roseville, California. Stacey R Holm practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stacey R Holm is 1790857480. The last update date is 2016-08-30.
Stacey R Holm's current location address is 2231 Douglas Blvd, Roseville, California. You can contact this provider via phone number 9167846300 and fax number 9167846343. The mailing address for Stacey R Holm is 2231 Douglas Blvd, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey R Holm |
|---|---|
| Address | 2231 Douglas Blvd, Roseville, California |
| Phone Number | 9167846300 |
| Fax Number | 9167846343 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790857480 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2016-08-30 |
Provider Mailing Address Detail
| Address | 2231 Douglas Blvd |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956613831 |
| Phone Number | 9167846300 |
| Fax Number | 9167846343 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 38427 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Stacey R Holm by the Centers for Medicare & Medicaid Services?
The Stacey R Holm has been assigned the NPI (National Provider Identifier) 1790857480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Stacey R Holm?
The Stacey R Holm is situated at 2231 Douglas Blvd, in the city of Roseville, state of CA, with the zip code 956613831.
What is the area of specialization for Stacey R Holm, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacey R Holm is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date was the 1790857480 assigned to Stacey R Holm?
The Stacey R Holm was issued its 1790857480 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Stacey R Holm most recently updated or refreshed?
The details pertaining to the Stacey R Holm, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-08-30.