Provider Demographics
NPI:1649280470
Name:HOLWICK, ROBERT TODD (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TODD
Last Name:HOLWICK
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 1:1300 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7414
Mailing Address - Country:US
Mailing Address - Phone:757-548-3238
Mailing Address - Fax:757-547-0679
Practice Address - Street 1:814 FALLS CREEK DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7295
Practice Address - Country:US
Practice Address - Phone:757-547-0021
Practice Address - Fax:757-547-0679
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA74681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice