DR. CHANELLE MARIE HOLDER DMD
NPI 1669200820
Dentist - Endodontics in Staten Island, NY

Active since July 22, 2024
2109 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 494-1300 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chanelle Marie Holder Dmd NPPES

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

DR. CHANELLE MARIE HOLDER DMD (NPI 1669200820) is an individual endodontics provider in Staten Island, New York, licensed in Connecticut (14166) and active in the NPI registry since July 2024. She maintains a secondary practice location in Norwalk.

NPPES Registry Identity

NPI1669200820
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. CHANELLE MARIE HOLDERCredential: DMD
Location Address2109 VICTORY BLVDStaten Island, NY 10314-6601
Mailing Address420 E 54th St Apt 307New York, NY 10022-5297 · (347) 969-1250
Sole ProprietorYes
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 21, 2024
NPI 1669200820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in CT · 14166
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2109 VICTORY BLVD, Staten Island, NY 10314

Secondary Practice Location 1

Location 183 East Ave Ste 205Norwalk, CT 06851-4918 · Phone (203) 952-0555

Accepted 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 Chanelle Holder's NPI number?

The NPI number for Chanelle Holder is 1669200820. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Chanelle Holder located?

Chanelle Holder practices at 2109 Victory Blvd, Staten Island, NY 10314. The listed phone number is (718) 494-1300.

What is Chanelle Holder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Chanelle Holder 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 HRI Dental & Vision and 3 other insurers list Chanelle Holder 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 Chanelle Holder was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.