Individual
DR. MICHAEL HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9601 BROOKDALE DR, SUITE 400, CHARLOTTE, NC 28215-8725
(704) 599-3901
(704) 213-3119
Mailing address
9601 BROOKDALE DR, SUITE 400, CHARLOTTE, NC 28215-8725
(704) 599-3901
(704) 213-3119
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7369
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015N0
NC HEALTHCHOICE
NC
05
—
5901086
—
NC
Enumeration date
07/19/2006
Last updated
04/01/2013
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