Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stacey R Holm, DDS

Individual provider General Practice Dentistry · NPI 1790857480

Dr. Stacey R Holm, DDS is a General Practice Dentistry in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2231 Douglas Blvd Ste 110
Roseville, CA 95661-3831
Phone: (916) 784-6300
Fax: (916) 784-6343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 38427 (CA)

Record details

NPI number1790857480
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 15, 2006
Last updated in NPPESAugust 30, 2016

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