Dr Chanelle Marie Holder, DMD - Dentist in Staten Island, NY

Dr Chanelle Marie Holder, DMD is a Dentist - Endodontics based in Staten Island, New York. Dr Chanelle Marie Holder is licensed to practice in Connecticut (license number 14166) and her current practice location is 2109 Victory Blvd, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at (718) 494-1300.

NPI number for Dr Chanelle Marie Holder is 1669200820 and her current mailing address is 420 E 54th St Apt 307, New York, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669200820.

Contact Information

Dr Chanelle Marie Holder, DMD
2109 Victory Blvd,
Staten Island, NY 10314-6601
(718) 494-1300
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Chanelle Marie Holder
GenderFemale
SpecialityDentist - Endodontics
Location2109 Victory Blvd, Staten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669200820
  • Provider Enumeration Date: 07/22/2024
  • Last Update Date: 07/22/2024

Medical Identifiers

Medical identifiers for Dr Chanelle Marie Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669200820NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 14166 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chanelle Marie Holder is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Chanelle Marie Holder, DMD
420 E 54th St Apt 307,
New York, NY 10022-5297

Ph: (347) 969-1250
Dr Chanelle Marie Holder, DMD
2109 Victory Blvd,
Staten Island, NY 10314-6601

Ph: (718) 494-1300

Reviews and Comments


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