Jason Holtman DDS LLC
Jason Holtman DDS LLC is a healthcare organization registered as Dentist in Bend, OR, holding Type 2 (organization) NPI 1104614650 since 2025. The authorized official on file is Jason Holtman, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104614650 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jason Holtman DDS LLC |
| Practice address | 965 SW EMKAY DR STE 100, Bend, OR, 97702 |
| Phone | 9192648368 |
| Enumeration date | 2025-04-25 |
| Last updated in NPPES | 2025-04-25 |
Authorized official
| Name | Jason Holtman |
|---|---|
| Title | Dentist |
| Phone | 9192648368 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Jason Holtman DDS LLC NPI: 1104614650 Taxonomy: 122300000X (Dentist) Address: 965 SW EMKAY DR STE 100, Bend, OR, 97702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649809583 | Jason Holtman | Individual | Dentist | Bend, OR |
| 1639890940 | Bend Dental Care, PC | Organization | General Practice Dentistry | Bend, OR |
Verify this record
Cross-check NPI 1104614650 against the authoritative CMS record: view Jason Holtman DDS LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Jason Holtman DDS LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-25.