Jeffrey JH Holsen, DDS,SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001664 Issued in WI

Legal business name

JEFFREY JH HOLSEN, DDS,SC

Practice address

2905 S 12TH St
Sheboygan, WI 53081-6705

Phone

(920) 459-8467

Fax

(920) 459-9886

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey JH Holsen

Title

President

Phone

(920) 459-8467

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255343828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 S 12TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816705",
            "telephone_number": "920-459-8467",
            "fax_number": "920-459-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 S 12TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816705",
            "telephone_number": "920-459-8467",
            "fax_number": "920-459-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY JH HOLSEN, DDS,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLSEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-459-8467",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather R James, P.A.-C
• Pamela J Jankoski, LMT
• Ranada Janos
• JD Senior Care, Inc
• Jean H. Schott, M.D., S.C.
• Christine Ann Jenkins, MA, LPC
• Lori Ann Jens, CCC-SLP
• Barbara M Jentges, OTR
• Corinne Jepsen-Hobbs, APNP
• Eric B Jerdee

• General Practice Dentistry in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.