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Jack Holly, DDS
NPI 1346364593 · on the registry since 2007 · sole proprietor
Practice
- Address
- 417 Hudson Dr
Elizabethton, TN 37643 - Phone
- (423) 543-4141
- Fax
- (423) 543-6606
- Organisation at this address
- Martin Dentistry Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee