| Ed Holliday, D.m.d., Inc. | |
|
901 Garfield St Tupelo MS 38801-5737 | |
| (662) 844-6464 | |
| (662) 842-2161 |
| Full Name | Ed Holliday, D.m.d., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 901 Garfield St, Tupelo, Mississippi |
| Authorized Official Name and Position | Edward Troy Holliday (PRESIDENT) |
| Authorized Official Contact | 6628446464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ed Holliday, D.m.d., Inc. 901 Garfield St Tupelo MS 38801-5737 Ph: (662) 844-6464 | Ed Holliday, D.m.d., Inc. 901 Garfield St Tupelo MS 38801-5737 Ph: (662) 844-6464 |
| NPI Number | 1467661983 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467661983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 87-2345 (Mississippi) | Primary |
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