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Dr. Stephen W Holm, DMD
Oral and Maxillofacial Surgery (Dentist) in Lewiston, Idaho
NPI 1295993145

Stephen W Holm is a Oral and Maxillofacial Surgery (Dentist) based in Lewiston, ID and is specialized in Oral and Maxillofacial Surgery. Stephen W Holm practices in Lewiston, ID and has the professional credentials of DMD. The NPI Number for Stephen W Holm is 1295993145 and holds a License No. D-4057 (Idaho).

The current practice location address for Stephen W Holm is 3326 4Th St Ste 2, Lewiston, ID and can be reached out via phone at 208-743-1640 and via fax at 208-743-1643.

Location: 3326 4Th St Ste 2, Lewiston, ID, 83501-4455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295993145
Provider Name
Stephen W Holm
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3326 4Th St Ste 2, Lewiston, ID, 83501-4455
Phone Number
208-743-1640
Fax Number
208-743-1643
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9212066 01 ID IDAHO SMILES
808116400 05 ID
institution
Provider Business Practice Location Address Details
Address
3326 4Th St Ste 2
City
Lewiston
State
Idaho
Zip
83501-4455
Phone Number
208-743-1640
Fax Number
208-743-1643
person
Provider Business Mailing Address Details
Address
3326 4Th St Ste 2
City
Lewiston
State
Idaho
Zip
83501-4455
Phone Number
208-743-1640
Fax Number
208-743-1643
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D-4057 (Idaho)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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