Peter L Holden, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020424 Issued in MI

Practice address

5704 Powder Horn TRL
Midland, MI 48642-8538

Phone

(989) 615-3421

NPI assigned

Aug 19, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1144500349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 POWDER HORN TRL",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428538",
            "telephone_number": "989-615-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 POWDER HORN TRL",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428538",
            "telephone_number": "989-615-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "7257",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Theresa Hofmeister
• Joani Ellen Hogan
• Karl M Hogue, DDS
• Maxwell K Hogue, DDS
• Michael J Holden, D.D.S.,M.S.
• Timothy W Holden, NP-C
• Michelle Marie Holland
• Eleisha Hollingsworth
• Sarah Ann Hollingsworth
• Linda Moore Holoman, LPC, ED.D.

• Dentist in Midland, MI
• Providers in Midland, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.