DR. STEPHEN W HOLM (NPI# 1295993145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295993145 |
Entity Type | Individual |
Full Name | DR. STEPHEN W HOLM |
Credential | DMD |
Practice Address |
3326 4th St Ste 2 Lewiston ID 83501-4455 |
Practice Telephone | 2087431640 |
Practice Fax Number | 2087431643 |
Mailing Telephone | 2087431640 |
Mailing Fax Number | 2087431643 |
Enumeration Date | 2008-05-28 |
Last Update Date | 2009-08-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D-4057 | ID | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | IDAHO SMILES | 9212066 | 01 |
ID | 808116400 | 05 |
Street Address |
3326 4TH ST STE 2 |
City | LEWISTON |
State | ID |
Zip Code | 83501-4455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003060591 | Facial Oral and Dental Implant Surgery Associates, Inc. | Dentist | 3326 4th St Ste 2, Lewiston, ID 83501-4455 | 2008-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
Find all providers in zip 83501 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003060591 | Facial Oral and Dental Implant Surgery Associates, Inc. | Dentist | 3326 4th St Ste 2, Lewiston, ID 83501-4455 | 2008-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710364427 | Gates Dentistry, Pllc | Dentist | 2165 N. Merritt Creek Loop, Coeur D Alene, ID 83814 | 2015-05-01 |
1124433743 | Arman Haghighi | Dentist | 403 S 11th St Ste 300, Boise, ID 83702-6968 | 2014-06-23 |
1003242769 | Dewayne Laverne Briscoe | Dentist | 404 Fairway Loop, Sun Valley, ID 83353 | 2013-09-25 |
1013274661 | Treasure Valley Oral and Facial Surgery Pllc | Dentist | 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 | 2012-04-20 |
1487910733 | Timothy Tracy O'brien | Dentist | 1613 12th Ave Rd Ste A, Nampa, ID 83686-6183 | 2012-04-11 |
1023398716 | Coeur D' Alene Oral Surgery | Dentist | 1027 E Sherman Ave, Coeur D Alene, ID 83814-4152 | 2011-08-25 |
1861645202 | Michael Verlyn Dabell | Dentist | 1550 N Crestmont Dr Ste G, Meridian, ID 83642-2177 | 2008-10-29 |
1376689646 | Timothy Ted Hopkins | Dentist | 590 Falls Ave, Twin Falls, ID 83301-3314 | 2007-01-30 |
1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
1184798811 | Mark Ensio Baker | Dentist | 165 N 14th Ave, Pocatello, ID 83201-4146 | 2006-11-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.