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

Jason Holt

Individual provider Pediatric Dentistry · NPI 1588103097

Jason Holt is a Pediatric Dentistry in Milwaukee, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2017

Practice location Address checks out

3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Phone: (414) 935-8000
Fax: (414) 344-3350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26901 76th Ave, New Hyde Park, NY 11040-1433 — (612) 568-4108

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 100218515 (WI)

Record details

NPI number1588103097
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 16, 2017
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020
Mailing address3522 W Lisbon Ave, Milwaukee, WI 53208-1953

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