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DR. DARYL GRANT HOLDREDGE DDS
NPI 1619991916
Dentist in Green Bay, WI

Active since July 27, 2006
1231 S WEBSTER AVE, GREEN BAY, WI 54301(920) 437-7188 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daryl Grant Holdredge Dds NPPES

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

DR. DARYL GRANT HOLDREDGE DDS (NPI 1619991916) is an individual dentist in Green Bay, Wisconsin, licensed in Wisconsin (4401) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619991916
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DARYL GRANT HOLDREDGECredential: DDS
Location Address1231 S WEBSTER AVEGreen Bay, WI 54301-3007
Mailing Address1231 S Webster AveGreen Bay, WI 54301-3007 · (920) 437-7188
Phone(920) 437-7188
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619991916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 4401
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.
1231 S WEBSTER AVE, Green Bay, WI 54301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Daryl Holdredge's NPI number?

The NPI number for Daryl Holdredge is 1619991916. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Daryl Holdredge located?

Daryl Holdredge practices at 1231 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 437-7188.

What is Daryl Holdredge's specialty?

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

What insurance does Daryl Holdredge accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Companion Life Insurance Company and 7 other insurers list Daryl Holdredge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daryl Holdredge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.