Provider Demographics
NPI:1376536532
Name:HOLDEN, DAVID THOMPSON (DMD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:THOMPSON
Last Name:HOLDEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 HELEN OF TROY STE E2
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3130
Mailing Address - Country:US
Mailing Address - Phone:915-581-3391
Mailing Address - Fax:915-584-5089
Practice Address - Street 1:6901 HELEN OF TROY STE E2
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-3130
Practice Address - Country:US
Practice Address - Phone:915-581-3391
Practice Address - Fax:915-584-5089
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228511223E0200X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM25006835Medicaid