IndividualActive
Stephen Holm, DMD
NPI 1295993145 · Oral and Maxillofacial Surgery (Dentist) · Lewiston, ID
Provider details
- NPI number
- 1295993145
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D-4057 (ID)
Practice location
3326 4th St Ste 2
Lewiston, ID 83501-4455
Phone: (208) 743-1640
Fax: (208) 743-1643
Mailing address
3326 4th St Ste 2
Lewiston, ID 83501-4455
Registry dates
- Enumerated
- 2008-05-28
- Last updated
- 2009-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.