CARL B HOLM D.D.S. NPI 1043362452

NPI Information

NPI: 1043362452
Provider Name: CARL B HOLM, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
350 E CEDAR ST STE A
POCATELLO, ID
ZIP 83201
Phone: (208) 233-2525
Get Directions

Carl B Holm, D.D.S. is a general practice dentist in Pocatello, ID. The provider is 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. Carl B Holm, D.D.S. NPI is 1043362452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 E CEDAR ST STE A
POCATELLO, ID
ZIP 83201-709
Phone: (208) 233-2525
Fax: (208) 233-2523

The enumeration date for this NPI number is 1/17/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D-3326	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	977709	OTHER		BSPA UNITED CONCORDIA
2	04083	OTHER		BLUESHIELD OF ID
3	82029	OTHER	IDAHO	DELTA DENTAL OF IDAHO
4	6B471	OTHER		BLUECROSS OF ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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