Holt, Thomas J

Holt, Thomas J is an individual health care provider with primary practice located at 199 N 9Th St , Coos Bay OR 97420-1702. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Holt, Thomas J can be contacted via phone (541) 267-4314.

Contact Information

Primary practice address
199 N 9Th St Coos Bay OR 97420-1702
Phone: (541) 267-4314
Fax: (541) 269-5416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D7597 Oregon

Profile Details

NPI number 1902807753
LBN Legal business name Holt, Thomas J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jun 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902807753 NPPES
Oregon MEDICAID 208334

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