| Holly Dental Pllc | |
|
1050 E Broadway Ave Suite 102 Gladewater TX 75647 | |
| (903) 707-8941 | |
| (903) 765-5309 |
| Full Name | Holly Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1050 E Broadway Ave, Gladewater, Texas |
| Authorized Official Name and Position | Vineet Sharma (OWNER/DENTIST) |
| Authorized Official Contact | 9037078941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Dental Pllc 1050 E Broadway Ave Suite 102 Gladewater TX 75647 Ph: (903) 707-8941 | Holly Dental Pllc 1050 E Broadway Ave Suite 102 Gladewater TX 75647 Ph: (903) 707-8941 |
| NPI Number | 1992383640 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992383640 | NPI | - | NPPES |
| 30165 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Gladewater Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 W Upshur Ave, Gladewater, TX 75647 Phone: 903-845-2161 | |
Shahid Dental Group Gladewater, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 W Upshur Ave, Gladewater, TX 75647 Phone: 903-845-2161 |