DR. JACK HOLLY JR., DDS
Dentist - General Practice
Active
Individual
NPI: 1346364593
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | DS2986 (TN) |
Frequently Asked Questions
NPI 1346364593 is the National Provider Identifier for DR. JACK HOLLY JR., DDS, a Dentist - General Practice provider located in Elizabethton, TN. This NPI was enumerated on March 16, 2007.
DR. JACK HOLLY JR., DDS practices at 417 HUDSON DR, Elizabethton, TN 37643.
Quick Facts
- NPI
- 1346364593
- Type
- Individual
- Enumerated
- Mar 16, 2007
- Last Updated
- Jul 8, 2007
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