Charles Blake Holt is a Tacoma, Washington based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Charles Blake Holt is
DE61436740 for Dentistry in Washington. His current practice location is
9040a Jackson Avenue, Tacoma. Patients can reach him at
253-968-0367.
Charles Blake Holt is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Charles Blake Holt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Charles Blake Holt |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 9040a Jackson Avenue, Tacoma,
Washington, 98431-0001 |
| Phone: | 253-968-0367 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1346939816 |
| NPI Enumeration Date: | 02 May, 2023 |
| NPI Last Update On: | 02 May, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Blake Holt are as mentioned below.
| License Number | Specialization | State | Status | |
| DE61436740 | Dentistry | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Blake Holt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| DE61436740 | Other | Washington | DENTAL LICENSE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9900 Lincoln Street 2nd Floor,
Tacoma, Washington |
| Zip: | 98431-0001 |
| Phone Number: | 253-968-4079 |
Patients can reach Charles Blake Holt at
9040a Jackson Avenue, Tacoma, Washington or can
call to book an appointment on 253-968-0367.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.