Holt, Michael

Holt, Michael is an individual health care provider with primary practice located at 9601 Brookdale Dr Suite 400, Charlotte NC 28215-8725. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Holt, Michael can be contacted via phone (704) 599-3901.

Contact Information

Primary practice address
9601 Brookdale Dr Suite 400 Charlotte NC 28215-8725
Fax: (704) 213-3119
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7369 North Carolina

Profile Details

NPI number 1376563098
LBN Legal business name Holt, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376563098 NPPES
North Carolina Other 015N0 NC HEALTHCHOICE
North Carolina MEDICAID 5901086 NC HEALTHCHOICE

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