DR. STEPHEN W HOLM


Address: 3326 4th St Ste 2, Lewiston, ID 83501-4455
Phone: 2087431640

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
D-4057 ID Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID IDAHO SMILES 9212066 01
ID 808116400 05

Office Location

Street Address 3326 4TH ST STE 2
City LEWISTON
State ID
Zip Code 83501-4455

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City LEWISTON
Zip Code 83501

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Dataset Information

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.

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