Shalise M. Holt, DDS, MS
Orthodontics · Loves Park, IL
UnclaimedDDS, MSNPI 1164904272
- Primary taxonomy
- 1223X0400X
- Enumerated
- 2018-09-05
- Practice location
- Loves Park, IL
- Last NPPES update
- 2018-09-05
State licenses
- IL · Dentist · LICENSED SPECIALIST IN DENTISTRYExpiredthrough 2022
- IL · Dentist · LICENSED DENTISTExpiredthrough 2024
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.