Organization Active NPI

Gabriel B. Holdwick, DDS, PC

  • Dental Clinic/Center
  • Harbor Beach, MI
National Provider Identifier
1366989667
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901021464 Issued in MI
Legal business name
GABRIEL B. HOLDWICK, DDS, PC
Doing business as
Gabriel B. Holdwick, DDS, PC
Practice address
415 State St
Harbor Beach, MI 48441-1210
Phone
(989) 479-3403
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Dr. Gabriel Benedict Holdwick, DDSNPI 1508266206
Title
President
Phone
(989) 479-9041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901021464 MI Primary

Addresses

Primary practice location

415 State St
Harbor Beach, MI 48441-1210

Mailing address

415 State St
Harbor Beach, MI 48441-1210
Phone (989) 479-3403

Other names 1

  • Gabriel B. Holdwick, DDS, PC Doing business as

National Provider Directory

National Provider Directory

Locations

415 State St
Harbor Beach, MI 48441
Phone (989) 479-3403

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1366989667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 STATE ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411210",
            "telephone_number": "989-479-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 STATE ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411210",
            "telephone_number": "989-479-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL B. HOLDWICK, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "HOLDWICK",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "BENEDICT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-479-9041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901021464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabriel B. Holdwick, DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harbor Beach, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.