Provider Demographics
NPI:1538242813
Name:HOLT, JANE ROBINSON (DDS)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:ROBINSON
Last Name:HOLT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 ASHVILLE AVE
Mailing Address - Street 2:SUITE 30
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6118
Mailing Address - Country:US
Mailing Address - Phone:919-233-1978
Mailing Address - Fax:919-854-0088
Practice Address - Street 1:218 ASHVILLE AVE
Practice Address - Street 2:SUITE 30
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6118
Practice Address - Country:US
Practice Address - Phone:919-233-1978
Practice Address - Fax:919-854-0088
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC53011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice