Organization
BRIAN R. HOLT, DDS PA
Active
Other names
Cabot Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAIN R. HOLT DDS (OWNER/PRESIDENT)
(501) 843-7726
Entity
Organization
Contact information
Practice address
108 S 10TH ST, CABOT, AR 72023-2820
(501) 843-7726
(501) 843-3561
Mailing address
108 S 10TH ST, CABOT, AR 72023-2820
(501) 843-7726
(501) 843-3561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3143
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1458718
UCCI
AR
01
—
5T017
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/16/2006
Last updated
08/22/2020
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