Organization
HOLT AND ASSOCIATES D.D.S., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R HOLT D.D.S. (OWNER)
(501) 982-4520
Entity
Organization
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
—
1790709087
INDIVIDUAL NPI NUMBER
AR
Enumeration date
08/10/2006
Last updated
08/22/2020
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