Doctor profile · Federal record
Dr. Shalise Holt, DDS, MS
Orthodontics and Dentofacial Orthopedic Dentist · Loves Park, IL
- NPI 1164904272
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4001 N Mulford RD
Loves Park, IL 611116949
(815) 877-6453
Credentials & registration
- NPI registered
- September 2018 — 8 yrs on file
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Illinois #021.002884
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164904272. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$38
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GC America Inc. | 1 | $18.83 | |
| LIGHTFORCE ORTHODONTICS, INC. | 1 | $18.67 |
By nature of payment
Frequently asked questions
What is Dr. Shalise Holt's medical specialty?
Dr. Shalise Holt practices Orthodontics and Dentofacial Orthopedic Dentist in Loves Park, IL.
Where does Dr. Shalise Holt practice?
Dr. Shalise Holt practices at 4001 N Mulford RD, Loves Park, IL 611116949. Office phone: 8158776453.
What is Dr. Shalise Holt's NPI?
Dr. Shalise Holt's National Provider Identifier (NPI) is 1164904272, issued by NPPES.