Dr Davern Latoya Holloway, DDS is a
Student In An Organized Health Care Education/training Program based in Columbus, Ohio. Dr Davern Latoya Holloway is licensed to practice in * (Not Available) (license number ) and her current practice location is
305 W 12th Ave, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 292-2622.
NPI number for Dr Davern Latoya Holloway is 1700570215 and her current mailing address is 6019 Hathaway Ave, Dublin, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700570215.
Healthcare Provider's Profile
Full Name | Dr Davern Latoya Holloway |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 305 W 12th Ave, Columbus, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700570215
- Provider Enumeration Date: 06/07/2023
- Last Update Date: 09/08/2023
Medical Identifiers
Medical identifiers for Dr Davern Latoya Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700570215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 30027247 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Davern Latoya Holloway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Davern Latoya Holloway, DDS 6019 Hathaway Ave, Dublin, OH 43016-6723 Ph: (909) 754-1435 | Dr Davern Latoya Holloway, DDS 305 W 12th Ave, Columbus, OH 43210-1267 Ph: (614) 292-2622 |
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