Carl B Holm in Pocatello - General Practice

Carl B Holm - NPI 1043362452

Carl B Holm is a General Practice in Pocatello, Idaho. Carl B Holm practices all healthcare services and medical treatments related to General Practice. The NPI Number for Carl B Holm is 1043362452. The last update date is 2007-07-08.

Carl B Holm's current location address is 350 E Cedar St Ste A, Pocatello, Idaho. You can contact this provider via phone number 2082332525 and fax number 2082332523. The mailing address for Carl B Holm is 350 E Cedar St Ste A, Pocatello, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Carl B Holm
Address 350 E Cedar St Ste A, Pocatello, Idaho
Phone Number 2082332525
Fax Number 2082332523
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1043362452
Provider Enumeration Date 2007-01-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 350 E Cedar St Ste A
City Pocatello
State Idaho (ID)
Post Code 832013709
Phone Number 2082332525
Fax Number 2082332523

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D-3326
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4083 BLUESHIELD OF ID
82029 ID DELTA DENTAL OF IDAHO
977709 BSPA UNITED CONCORDIA
6B471 BLUECROSS OF ID

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FAQs about Carl B Holm

What is the unique 10-digit identification code assigned to Carl B Holm by the Centers for Medicare & Medicaid Services?

The Carl B Holm has been issued the NPI (National Provider Identifier) 1043362452, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Carl B Holm located?

The Carl B Holm is located at 350 E Cedar St Ste A, Pocatello, ID 832013709.

What is Carl B Holm's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Carl B Holm is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1043362452 to Carl B Holm?

The Carl B Holm received its 1043362452 assignment from the Centers for Medicare & Medicaid Services on 2007-01-17.

As of what date were the Carl B Holm's details last updated?

The information pertaining to the Carl B Holm, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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