Provider Demographics
NPI:1962612515
Name:HOLBER, THOMAS SCOTT (DMD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:SCOTT
Last Name:HOLBER
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 1:2621 MAIN ST
Mailing Address - Street 2:UNIVERSAL DENTAL BUILDING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3646
Mailing Address - Country:US
Mailing Address - Phone:412-793-5520
Mailing Address - Fax:412-793-5360
Practice Address - Street 1:2621 MAIN ST
Practice Address - Street 2:UNIVERSAL DENTAL BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3646
Practice Address - Country:US
Practice Address - Phone:412-793-5520
Practice Address - Fax:412-793-5360
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAH2509896-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist