| Holley Family Dentistry | |
|
446 Effingham St Portsmouth VA 23704-3416 | |
| (757) 393-2401 | |
| (757) 595-3816 |
| Full Name | Holley Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 446 Effingham St, Portsmouth, Virginia |
| Authorized Official Name and Position | James W Holley (OWNER/PRESIDENT) |
| Authorized Official Contact | 7575953503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holley Family Dentistry 446 Effingham St Portsmouth VA 23704-3416 Ph: (757) 393-2401 | Holley Family Dentistry 446 Effingham St Portsmouth VA 23704-3416 Ph: (757) 393-2401 |
| NPI Number | 1306032610 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306032610 | NPI | - | NPPES |
| 7831587 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0470107431 (Virginia) | Primary |
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