Brent L Holman Dds Pc in Fargo - Pediatric Dentistry
Brent L Holman Dds Pc - NPI 1265595995
Brent L Holman Dds Pc is a Pediatric Dentistry in Fargo, North Dakota. Brent L Holman Dds Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brent L Holman Dds Pc is 1265595995. The last update date is 2020-08-22.
Brent L Holman Dds Pc's current location address is 2538 University Dr S, Fargo, North Dakota. You can contact this provider via phone number 7012321148 and fax number 7012328907. The mailing address for Brent L Holman Dds Pc is 2538 University Dr S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brent L Holman Dds Pc |
|---|---|
| Address | 2538 University Dr S, Fargo, North Dakota |
| Phone Number | 7012321148 |
| Fax Number | 7012328907 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Holman L Brent |
| Credentials | DDS |
| Telephone Number | 7012321148 |
NPI Number Detail
| NPI Number | 1265595995 |
|---|---|
| Provider Enumeration Date | 2006-12-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2538 University Dr S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581035737 |
| Phone Number | 7012321148 |
| Fax Number | 7012328907 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 1587 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40633 | ND | -- | |
| 26296 | ND | ND BLUE CROSS BLUE SHIELD | |
| 330 | MN | DELTA DENTAL | |
| 91799110 | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brent L Holman Dds Pc by the Centers for Medicare & Medicaid Services?
The Brent L Holman Dds Pc has been assigned the NPI (National Provider Identifier) 1265595995 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 physical address where Brent L Holman Dds Pc is located?
The Brent L Holman Dds Pc is situated at the following address: 2538 University Dr S, Fargo, ND, 581035737.
What is Brent L Holman Dds Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brent L Holman Dds Pc's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did Brent L Holman Dds Pc receive its 1265595995 assignment?
The Brent L Holman Dds Pc was assigned its 1265595995 on 2006-12-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Brent L Holman Dds Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brent L Holman Dds Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1447253448
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