person
Jason Holt
Pediatric Dentist in Milwaukee, Wisconsin
NPI 1588103097

Jason Holt is a Pediatric Dentist based in Milwaukee, WI and is specialized in Pediatric Dentistry. Jason Holt practices in Milwaukee, WI. The NPI Number for Jason Holt is 1588103097 and holds a License No. 100218515 (Wisconsin).

The current practice location address for Jason Holt is 3522 W Lisbon Ave, Milwaukee, WI and can be reached out via phone at 414-935-8000 and via fax at 414-344-3350.

Location: 3522 W Lisbon Ave, Milwaukee, WI, 53208-1953
person
Provider Profile Details
NPI Number
1588103097
Provider Name
Jason Holt
Credential
Provider Entity Type
Individual
Gender
Male
Address
3522 W Lisbon Ave, Milwaukee, WI, 53208-1953
Phone Number
414-935-8000
Fax Number
414-344-3350
Provider Enumeration Date
02/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3522 W Lisbon Ave
City
State
Zip
53208-1953
Phone Number
414-935-8000
Fax Number
414-344-3350
person
Provider Business Mailing Address Details
Address
3522 W Lisbon Ave
City
State
Zip
53208-1953
Phone Number
414-935-8000
Fax Number
414-344-3350
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
100218515 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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