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

Timanisha Holbert I

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811691363

Timanisha Holbert I is a Student in an Organized Health Care Education/Training Program in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1137 E Kenosha St
Broken Arrow, OK 74012-2006
Phone: (918) 259-0239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8233 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811691363
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address3302 Gaston Ave, Dallas, TX 75246-2013

Other providers in Broken Arrow