Provider Demographics
NPI:1275616658
Name:HOLFELD, ROBERT K (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:HOLFELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 LAKE OTIS PKWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5215
Mailing Address - Country:US
Mailing Address - Phone:907-561-1252
Mailing Address - Fax:907-561-1696
Practice Address - Street 1:4200 LAKE OTIS PKWY
Practice Address - Street 2:SUITE 301
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5215
Practice Address - Country:US
Practice Address - Phone:907-561-1252
Practice Address - Fax:907-561-1696
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA 6841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice