Individual
DR. BRIAN R HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 JOHN HARDEN DR, JACKSONVILLE, AR 72076-3161
(501) 982-4520
(501) 982-7450
Mailing address
1100 JOHN HARDEN DR, JACKSONVILLE, AR 72076-3161
(501) 982-4520
(501) 982-7450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3143
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512089
UNITED CONCORDIA
AR
01
—
57017
BCBS
AR
Enumeration date
07/27/2006
Last updated
07/08/2007
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