Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811691363 Individual Practitioner Female Practitioner

Timanisha Holbert

Dentist • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Timanisha Holbert is a registered healthcare professional specializing in Dentist in Broken Arrow, OK. Practice services are available at 1137 E KENOSHA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1137 E Kenosha St

Broken Arrow, OK 740122006

Telephone 9182590239
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
21 Specialists

Practicing in Broken Arrow, OK (1115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-19
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 8233

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1033299201

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 19, 2026

Registered at 1137 E KENOSHA ST, BROKEN ARROW, OK 740122006 (Tel: 9182590239)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2026

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location May 07, 2024

Registered at 3020 N HIGHWAY 61, MUSCATINE, IA 527615818 (Tel: 5633162092)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2024

Dentist (License #019.034487 in IL)

📍
Updated Practice Location July 05, 2023

Registered at 4404 16TH ST, MOLINE, IL 612657012 (Tel: 3094330710)

NPI Profile Active March 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

📍
Updated Business Mailing Address March 29, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013

👤
Provider Name / Credentials Updated March 29, 2023

Recorded as TIMANISHA HOLBERT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811691363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2023
Last Update: May 19, 2026
Sole Proprietor: No

Mailing Address

3302 Gaston Ave

Dallas, TX 752462013

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.