DR. RICHARD FREDERICK JOHN HOLTZEN D.M.D. NPI 1588608616

NPI Information

NPI: 1588608616
Provider Name: DR. RICHARD FREDERICK JOHN HOLTZEN, D.M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
805 S RESERVE ST
MISSOULA, MT
ZIP 59801
Phone: (406) 381-6845
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DR. Richard Frederick John Holtzen, D.M.D. is a specialist in Missoula, MT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Richard Frederick John Holtzen, D.M.D. NPI is 1588608616. 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:

805 S RESERVE ST
MISSOULA, MT
ZIP 59801-104
Phone: (406) 381-6845

The enumeration date for this NPI number is 6/16/2006 and was last updated on 11/2/2016.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	101008	CALIFORNIA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2431	MONTANA	No
3	174400000X	Specialist		3332-S228	NEVADA	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
1	002202076	MEDICAID	NEVADA
2	V38468	MEDICARE PIN	NEVADA
3	U78344	MEDICARE UPIN	NEVADA

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: 4/28/2024

NPI Synchronization or Removal

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