Individual provider · Type 1 NPI
Shannon Cathren Holt
Orthodontics and Dentofacial Orthopedics Dentistry · Detroit, MI
Practice location
2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 2901603133 (MI) |
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…
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About NPI 1376337709
Shannon Cathren Holt's National Provider Identifier is 1376337709, issued on Apr 9, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2026.