MEDICARE: DR. NATHANIEL ALEXANDER HOLT DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	10093	KY
2	122300000X	Dentist	019.033566	IL
3	122300000X	Dentist	1002487-15	WI

General Provider Information

NPI Number	:	1740775675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHANIEL ALEXANDER HOLT DMD

Provider Business Mailing Address
First Line	:	1618 ESTONIA GREY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-2597
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2133 PEPPERRELL ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78236-5313
Country	:	US
Telephone Number	:	210-292-0123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2018
Last Update Date	:	08/08/2023

Similar Medicare Providers

1568555654 — RYAN LEE SNYDER DMD
Practice Location Address:

2133 PEPPERRELL ST BLDG 3352
SAN ANTONIO, TX
78236-5313

Practice Phone: 210-292-9053
Practice Fax:

1508226317 — DR. MARK SUNDEM
Practice Location Address:

2133 PEPPERRELL ST BLDG 3352
SAN ANTONIO, TX
78236-5313

Practice Phone: 830-221-0459
Practice Fax:

1073036901 — LIZANDRE BELANGER DMD
Practice Location Address:

2133 PEPPERRELL ST
SAN ANTONIO, TX
78236-5313

Practice Phone: 210-292-0123
Practice Fax:

1235807314 — MAGDALENA ORLOWSKA DMD
Practice Location Address:

2133 PEPPERRELL ST
SAN ANTONIO, TX
78236-5313

Practice Phone: 210-292-2558
Practice Fax:

1841976610 — DR. GENEVIEVE PRISCILLA POITRAS DDS
Practice Location Address:

2133 PEPPERELL STREET-BUILDING 3352 , JBSA LACKLAND
SAN ANTONIO, TX
78236-5313

Practice Phone: 210-292-6258
Practice Fax:

1063439222 — WAL-MART STORES TEXAS LLC
Practice Location Address:

5025 NW LOOP 410
SAN ANTONIO, TX
78229-5313

Practice Phone: 210-523-1123
Practice Fax:

Directions to “ DR. NATHANIEL ALEXANDER HOLT DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.