Healthcare Provider Details

I. General information

NPI: 1528687985
Provider Name (Legal Business Name): JAMES R HOLMES DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 WARD RD UNIT 410
ARVADA CO
80004-3823
US

IV. Provider business mailing address

6355 WARD RD UNIT 410
ARVADA CO
80004-3823
US

V. Phone/Fax

Practice location:
  • Phone: 303-420-7100
  • Fax: 303-420-8479
Mailing address:
  • Phone: 303-420-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X2210X
TaxonomyOrofacial Pain Dentistry
License Number
License Number State

VIII. Authorized Official

Name: LEVON KAPLAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 303-420-7100