DR. STACEY R HOLM D.D.S.
NPI 1790857480
Dentist - General Practice in Roseville, CA

Active since November 15, 2006
2231 DOUGLAS BLVD, SUITE 110, ROSEVILLE, CA 95661(916) 784-6300(916) 784-6343 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2016, Aug 17, 2016 (2 updates tracked since 2016).

About Dr. Stacey R Holm D.d.s. NPPES

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

DR. STACEY R HOLM D.D.S. (NPI 1790857480) is an individual general practice provider in Roseville, California, licensed in California (38427) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1790857480
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STACEY R HOLMCredential: D.D.S.
Location Address2231 DOUGLAS BLVD, SUITE 110Roseville, CA 95661-3831
Mailing Address2231 Douglas Blvd, Suite 110Roseville, CA 95661-3831 · (916) 784-6300 · Fax (916) 784-6343
Fax(916) 784-6343
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 30, 20162 updates tracked since enumeration
NPI 1790857480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 38427
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2231 DOUGLAS BLVD, Roseville, CA 95661

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
2231 DOUGLAS BLVD, SUITE 110
ROSEVILLE, CA 95661
Dentist (General Practice)
2231 DOUGLAS BLVD, SUITE 110
ROSEVILLE, CA 95661
Dentist (General Practice)
2231 DOUGLAS BLVD, SUITE 110
ROSEVILLE, CA 95661

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 Stacey Holm's NPI number?

The NPI number for Stacey Holm is 1790857480. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Stacey Holm located?

Stacey Holm practices at 2231 Douglas Blvd Suite 110, Roseville, CA 95661. The listed phone number is (916) 784-6300.

What is Stacey Holm's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Stacey Holm accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Stacey Holm 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 Stacey Holm was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.