JASON HOLTMAN DDS LLC
NPI 1104614650
Dentist in Bend, OR

Active since April 25, 2025
965 SW EMKAY DR STE 100, BEND, OR 97702(919) 264-8368 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Holtman Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON HOLTMAN DDS LLC (NPI 1104614650) is a healthcare organization registered as a dentist in Bend, Oregon and active in the NPI registry since April 2025. The organization lists Jason Holtman, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104614650
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJASON HOLTMAN DDS LLC
Location Address965 SW EMKAY DR STE 100Bend, OR 97702-3598
Mailing Address77 Nw Mckay AveBend, OR 97703-2523 · (919) 264-8368
Organization SubpartNo
Authorized OfficialJason HoltmanDentist · (919) 264-8368
Enumeration DateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1104614650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
965 SW EMKAY DR STE 100, Bend, OR 97702

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
965 SW EMKAY DR STE 100
BEND, OR 97702
Dentist
965 SW EMKAY DR STE 100
BEND, OR 97702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Holtman Dds LLC's NPI number?

The NPI number for Jason Holtman Dds LLC is 1104614650. It was assigned to this organization in the NPPES registry on April 25, 2025.

Where is Jason Holtman Dds LLC located?

Jason Holtman Dds LLC is located at 965 SW Emkay Dr Ste 100, Bend, OR 97702. The listed phone number is (919) 264-8368.

What is Jason Holtman Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jason Holtman Dds LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.