DR. BRENT L HOLMAN DDS NPI 1528121258

NPI Information

NPI: 1528121258
Provider Name: DR. BRENT L HOLMAN, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
2538 UNIVERSITY DR S
SUITE A
FARGO, ND
ZIP 58103
Phone: (701) 232-1148
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DR. Brent L Holman, DDS is a pediatric dentistry dentist in Fargo, ND. The provider is 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. DR. Brent L Holman, DDS NPI is 1528121258. 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:

2538 UNIVERSITY DR S
SUITE A
FARGO, ND
ZIP 58103-737
Phone: (701) 232-1148
Fax: (701) 232-8907

The enumeration date for this NPI number is 12/17/2006 and was last updated on 5/1/2014.

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	1223P0221X	Dentist	Pediatric Dentistry	1587	NORTH DAKOTA	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	40633	MEDICAID	NORTH DAKOTA
2	370720200	MEDICAID	MINNESOTA
3	26296	OTHER	NORTH DAKOTA	BLUE CROSS BLUE SHIELD
4	330	OTHER	MINNESOTA	DELTA DENTAL
5	91799110	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD

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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