Individual provider · Type 1 NPI
Stephen W. Holm, DMD
Oral and Maxillofacial Surgery (Dentist) · Lewiston, ID
NPI number
1295993145
Active
Practice location
3326 4th St Ste 2
Lewiston, ID 83501-4455
Fax (208) 743-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D-4057 (ID) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
About NPI 1295993145
Stephen W. Holm, DMD's National Provider Identifier is 1295993145, issued on May 28, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lewiston, ID. The record was last updated on Aug 3, 2009.