GREGORY S HOLBROOK, DMD, PC (NPI# 1144490046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144490046 |
| Entity Type | Organization |
| Organization Name | GREGORY S HOLBROOK, DMD, PC |
| Practice Address |
1301 Main St Suite 9 Salmon ID 83467-4451 |
| Practice Telephone | 2087562899 |
| Practice Fax Number | 2087564686 |
| Mailing Telephone | 2087562899 |
| Mailing Fax Number | 2087564686 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | DR. GREGORY S HOLBROOK (PRESIDENT) |
| Authorized Official Telephone | 2087562899 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D-3250 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DELTA DENTAL | 006084 | 01 | |
| ID | BLUE CROSS OF IDAHO | 6A135 | 01 |
| METLIFE | 9201997 | 01 | |
| UNITED CONCORDIA | 00087549 | 01 |
| Street Address |
1301 MAIN ST SUITE 9 |
| City | SALMON |
| State | ID |
| Zip Code | 83467-4451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538603444 | Joseph L. Rodriguez Dds and Associates Pllc | Dentist | 1301 Main St, Suite 9, Salmon, ID 83467-4451 | 2016-12-12 |
| 1396018461 | Salmon River Vision Clinic, Pllc | Optometrist | 1301 Main St, Suite 10, Salmon, ID 83467-4451 | 2012-02-20 |
| 1427256288 | Scott Burns Taylor | Optometrist | 1301 Main St, Suite 10, Salmon, ID 83467-4453 | 2007-07-03 |
| 1417083833 | Idaho Dept of Health & Welfare Region 7 Cmh Psr Salmon | Clinic/Center | 1301 Main St, Salmon, ID 83467-4451 | 2007-02-27 |
| 1801922612 | Idaho Dept of Health & Welfare Region 7 Cmh Clinic Salmon | Clinic/Center | 1301 Main St, Salmon, ID 83467-4451 | 2007-02-26 |
| 1821164351 | Scott Burns Taylor | Optometrist | 1301 Main St, Suite #10, Salmon, ID 83467-4451 | 2006-11-27 |
| 1174612394 | Dustin J Jones | Optometrist | 1301 Main St, Suite 10, Salmon, ID 83467-4451 | 2006-10-12 |
| 1417975772 | Gregory S Holbrook | Dentist | 1301 Main St, Suite 9, Salmon, ID 83467-4451 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010686 | Rocky Mountain Holdings, LLC | Ambulance | 17 Center Hangar Rd, Salmon, ID 83467 | 2020-07-20 |
| 1790204881 | Annah Benedict Dahle | Physical Therapist | Porgy & Petunia's Pediatric Therapy 111 E Lillian, Suite 8, Salmon, ID 83467 | 2017-09-11 |
| 1912436395 | Georgena Yanoff | Occupational Therapist | 516 Main Street #103, Salmon, ID 83467 | 2017-06-08 |
| 1134580525 | Amy Berasi | Specialist | 201 Pole Line Rd, Salmon, ID 83467 | 2016-03-11 |
| 1689098964 | Aspen Meadows Home Care LLC | In Home Supportive Care | 104 South Warpath, Salmon, ID 83467 | 2014-02-07 |
| 1366799827 | Physical Therapy Clinic,inc. | Clinic/Center | 802 Shoup Street, Salmon, ID 83467 | 2012-08-14 |
| 1689826984 | Charles John Clark | Pharmacist | 203 So. Daisy, Salmon, ID 83467 | 2008-10-17 |
| 1972767531 | Katherine I Contway | Social Worker | 204 Courthouse Dr, Salmon, ID 83467 | 2008-07-14 |
| 1215135017 | Annie J Allen | Acupuncturist | 111 Lillian Street, Suite 211, Salmon, ID 83467 | 2007-07-03 |
| 1992913479 | Steele Memorial Medical Center | Medicare Defined Swing Bed Unit | 203 S. Daisy St., Salmon, ID 83467 | 2007-05-18 |
| Find all providers in zip 83467 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043416910 | Two Rivers Dental, Pllc | Dentist | 100 Courthouse Dr, Salmon, ID 83467-3919 | 2007-06-26 |
| 1750301941 | Richard Rulon Smith | Dentist | 106 S Daisy St, Salmon, ID 83467-4333 | 2006-07-20 |
| 1568560175 | Kenneth Rogers | Dentist | 1005 Main St, Salmon, ID 83467-0947 | 2006-09-20 |
| 1417975772 | Gregory S Holbrook | Dentist | 1301 Main St, Suite 9, Salmon, ID 83467-4451 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1588273635 | Atlantis Dental Care, P.a. | Dentist | 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 | 2020-07-24 |
| 1235747338 | Dentists of Boise and Orthodontics, PC | Dentist | 7500 W State St Ste 110, Boise, ID 83714-6074 | 2020-07-15 |
| 1346895232 | Tejasi Avasare | Dentist | 8321 W Overland Rd, Boise, ID 83709-1640 | 2019-08-07 |
| 1740835248 | Braden Comstock | Dentist | 2329 N Merritt Creek Loop, Coeur D Alene, ID 83814-4950 | 2019-08-02 |
| 1902450430 | Jaren M Thueson | Dentist | 106 E 1st N, Rexburg, ID 83440-1614 | 2019-08-01 |
| 1528610359 | Melissa Marie Pysnak | Dentist | 8850 W Emerald St Ste 150, Boise, ID 83704-4809 | 2019-07-11 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1104483122 | Meghan Cyrena Bristlin | Dentist | 3326 4th St Ste 3, Lewiston, ID 83501-4455 | 2019-05-24 |
| 1124684584 | Trevor Tafoya Dds Victory Dental, Pllc | Dentist | 7421 W Victory Rd, Boise, ID 83709-5106 | 2019-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.