Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAD L. HOLMES, D.D.S.
ActiveBRAD L. HOLMES, D.D.S. is a Endodontics healthcare provider located in PROVO, Utah. NPI 1649489212 is currently active in the NPPES registry. Verify at CMS.
Endodontics · PROVO, UT
Registration Details
- NPI Number
- 1649489212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2007 (19.224627955472 yrs)
- Last Updated
- Jul 8, 2007
- License
-
145724-9922 (UT)
Practice Information
- Address
-
1355 N UNIVERSITY AVESTE. #150PROVO, UT, 846042721Browse UT providers · Browse ZIP 84604
- Phone
- 8013753910
- Fax
- 8013754001
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.