Individual provider · Type 1 NPI
Shalise Marie Holt, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Loves Park, IL
Practice location
4001 N Mulford Rd
Loves Park, IL 61111-6949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 021.002884 (IL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
4 other providers at this address
- Vincent Zammuto DDS LtdGeneral Practice Dentistry Loves Park, IL NPI 1891910451
- Jon Szleszinski, DMDGeneral Practice Dentistry Loves Park, IL NPI 1154704849
- Terry Joiner, DDSGeneral Practice Dentistry Loves Park, IL NPI 1518133362
- Vincent Zammuto, DDSGeneral Practice Dentistry Loves Park, IL NPI 1295952877
About NPI 1164904272
Shalise Marie Holt, DDS, MS's National Provider Identifier is 1164904272, issued on Sep 5, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Loves Park, IL. The record was last updated on Sep 5, 2018.