NPI 1134109069 DR. WENDELL HOLDBROOK D.M.D GIBBSBORO NJ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Wendell Holdbrook - NPI: 1134109069

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. WENDELL HOLDBROOK
NPI Number: 1134109069
Entity Type Code: Individual (1)
Gender: M
Credentials: D.M.D
License Number: 22D102298203
Business Practice Address: 250 Haddonfield Berlin Rd
Suite 101 Gibbsboro, NJ - 080261228
Business Phone Number: 8567830444
Business Fax Number: 8567830445
Mailing Address: 250 Haddonfield Berlin Rd, Suite 101
GIBBSBORO
State: NJ
Postal Code: 080261228
Phone Number: 8567830444
Fax Number: 8567830445
NPI Enumeration Date: 01/18/2006
NPI Last Update Date: 12/28/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223P0221X
License Number: 22D102298203
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NJ
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: Pediatric Dentistry
Taxonomy 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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