# GREGORY S HOLBROOK, DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144490046
- **Authorized official:** DR. GREGORY S HOLBROOK DMD (PRESIDENT)
- **Authorized official phone:** (208) 756-2899

## Contact information

- **Practice address:** 1301 MAIN ST, SUITE 9, SALMON, ID 83467-4451
- **Practice address phone:** (208) 756-2899
- **Practice address fax:** (208) 756-4686
- **Mailing address:** 1301 MAIN ST, SUITE 9, SALMON, ID 83467-4451
- **Mailing address phone:** (208) 756-2899
- **Mailing address fax:** (208) 756-4686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-3250 | ID | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 03/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00087549 | UNITED CONCORDIA | — |
| 01 | — | 006084 | DELTA DENTAL | — |
| 01 | — | 6A135 | BLUE CROSS OF IDAHO | ID |
| 01 | — | 9201997 | METLIFE | — |