Cody J. Holmgren
General Dentistry · Portage, IN
UnclaimedNPI 1952183089
- Primary taxonomy
- 122300000X
- Enumerated
- 2023-10-13
- Practice location
- Portage, IN
- Last NPPES update
- 2024-05-30
State licenses
- IN · Dentist · NPPES self-reportedListed on NPI record
“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.