Individual provider · Type 1 NPI

Jared Holloway, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Anoka, MN

NPI number 1720548787 Active

Practice location

3507 Round Lake Blvd NW
Anoka, MN 55303-5001

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	112057379921 (UT)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	S239 (MN)

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 1720548787

Jared Holloway, DMD's National Provider Identifier is 1720548787, issued on Mar 24, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Anoka, MN. The record was last updated on Jul 10, 2025.