Brent L Holman in Fargo - Pediatric Dentistry
Brent L Holman - NPI 1528121258
Brent L Holman is a Pediatric Dentistry in Fargo, North Dakota. Brent L Holman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brent L Holman is 1528121258. The last update date is 2014-05-01.
Brent L Holman'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 is 2538 University Dr S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent L Holman |
|---|---|
| Address | 2538 University Dr S, Fargo, North Dakota |
| Phone Number | 7012321148 |
| Fax Number | 7012328907 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1528121258 |
|---|---|
| Provider Enumeration Date | 2006-12-17 |
| Last Updated Date | 2014-05-01 |
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 |
|---|---|---|---|
| 26296 | ND | BLUE CROSS BLUE SHIELD | |
| 330 | MN | DELTA DENTAL | |
| 91799110 | MN | BLUE CROSS BLUE SHIELD | |
| 370720200 | MN | -- | |
| 40633 | ND | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brent L Holman?
The Brent L Holman has been issued the NPI (National Provider Identifier) 1528121258 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Brent L Holman is physically located?
The Brent L Holman is situated at the following address: 2538 University Dr S, Fargo, ND 581035737.
What is the area of specialization for Brent L Holman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brent L Holman is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528121258 to Brent L Holman?
The Brent L Holman received its 1528121258 assignment from the Centers for Medicare & Medicaid Services on 2006-12-17.
As of what date was the information regarding Brent L Holman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brent L Holman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-05-01.