Jon Edvin Holmberg, DDS

Dentist · Enumclaw, WA

Individual Active NPI

NPI number 1194886135

Practice location

1837 Wells St
Enumclaw, WA 98022-3516
Phone
(360) 825-2081

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NPI record

NPI
1194886135
Entity type
Individual (Type 1)
Enumeration date
December 13, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE00005435 WA

About Dr. Holmberg

Jon Edvin Holmberg, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1837 Wells St, Enumclaw, WA 98022-3516. The NPI number 1194886135 was assigned on December 13, 2006 and the record was last updated on July 8, 2007.

Dr. Holmberg lists a license in the registry: #DE00005435 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Edvin Holmberg, DDS?

The NPI number is 1194886135.

What is the phone number of Dr. Holmberg?

The phone number listed for the practice location is (360) 825-2081.

Where is Dr. Holmberg located?

1837 Wells St, Enumclaw, WA 98022-3516.

What is the taxonomy code for Dr. Holmberg?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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