Jason Michael Holtman

Dentist · Bend, OR

Individual Active NPI

NPI number 1649809583

Practice location

965 SW Emkay Dr Ste 100
Bend, OR 97702-3598
Phone
(541) 383-0754
Fax
(541) 383-8218

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NPI record

NPI
1649809583
Entity type
Individual (Type 1)
Enumeration date
April 3, 2020
Last updated
March 25, 2026
Certified
March 25, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D11523 OR
Endodontics 1223E0200X D11523 OR
General Practice Dentistry 1223G0001X D11523 OR

Mailing address

77 NW McKay Ave
Bend, OR 97703-2523
Phone
(919) 264-8368
Fax
(541) 383-8128

Other practice locations (1)

  • 77 NW McKay Ave, Bend, OR 97703-2523 · (919) 264-8368

About Jason Holtman

Jason Michael Holtman is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 965 SW Emkay Dr Ste 100, Bend, OR 97702-3598. The NPI number 1649809583 was assigned on April 3, 2020 and the record was last updated on March 25, 2026.

Jason Holtman lists 3 licenses in the registry: #D11523 (OR) for Dentist; #D11523 (OR) for Endodontics; #D11523 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Michael Holtman?

The NPI number is 1649809583.

What is the phone number of Jason Holtman?

The phone number listed for the practice location is (541) 383-0754.

Where is Jason Holtman located?

965 SW Emkay Dr Ste 100, Bend, OR 97702-3598.

What is the taxonomy code for Jason Holtman?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

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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