Individual provider · Type 1 NPI

Jealynn Marie Holtz, DDS

Student in an Organized Health Care Education/Training Program · Richmond, VA

NPI number 1184411555 Active

Practice location

6900 Forest Ave Ste 110
Richmond, VA 23230-1730

Call (804) 893-8715 Map

Fax (804) 285-1292

Mailing address

4200 S Lake Dr Unit 208
St. Francis, WI 53235-5961

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184411555

Jealynn Marie Holtz, DDS's National Provider Identifier is 1184411555, issued on Apr 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, VA. The record was last updated on Apr 21, 2025.