Individual provider · Type 1 NPI
John Robert Holt, DDS
Dental Anesthesiology · Lubbock, TX
Practice location
2309 York Ave
Lubbock, TX 79407-2286
Fax (806) 783-0674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | 15567 (TX) |
| Dental Anesthesiology Primary | 1223D0004X | 15567 (TX) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
About NPI 1336125384
John Robert Holt, DDS's National Provider Identifier is 1336125384, issued on Dec 21, 2005. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Lubbock, TX. The record was last updated on Nov 19, 2013.