DR. RICHARD DWIGHT HOLLEY JR.


Address: 20950 N Tatum Blvd, #350, Phoenix, AZ 85050-4200
Phone: 4804733111

DR. RICHARD DWIGHT HOLLEY JR. (NPI# 1487864336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487864336
Entity Type Individual
Full Name DR. RICHARD DWIGHT HOLLEY JR.
Credential DDS
Practice Address 20950 N Tatum Blvd
#350
Phoenix
AZ 85050-4200
Practice Telephone 4804733111
Practice Fax Number 4804733114
Mailing Telephone 4804733111
Mailing Fax Number 4804733114
Enumeration Date 2007-05-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
4573 AZ Dental Providers

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1780076711 Richard Holley Jr. Pharmacist 11212 Sunrise Blvd E Ste 204, Puyallup, WA 98374-8847 2015-02-27
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Office Location

Street Address 20950 N TATUM BLVD
#350
City PHOENIX
State AZ
Zip Code 85050-4200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982604708 Steven Cary Simon Surgery 20950 N Tatum Blvd, Suite 308, Phoenix, AZ 85050-4200 2005-07-22
1689110314 Trusted Care Surgery Centers LLC Clinic/Center 20950 N Tatum Blvd, Suite 170, Phoenix, AZ 85050-4200 2017-01-19
1790141224 Cheryl Schaaf Registered Nurse 20950 N Tatum Blvd, Suite 150, Phoenix, AZ 85050-4200 2016-01-13
1659749190 Micheal Papademetriou Dentist 20950 N Tatum Blvd, 370, Phoenix, AZ 85050-4200 2015-09-14
1124427828 Derrick A. Debenedetto Physical Therapist 20950 N Tatum Blvd, Ste. 100, Phoenix, AZ 85050-4200 2014-08-19
1770997413 Kaitlyn Kakar Physical Therapist 20950 N Tatum Blvd, Suite 100, Phoenix, AZ 85050-4200 2014-06-19
1568874683 Az Pain Consultants LLC Pain Medicine 20950 N Tatum Blvd, Suite 220, Phoenix, AZ 85050-4200 2014-05-22
1215363320 Desert Ridge Oral,facial & Implant Surgery, Pllc Dentist 20950 N Tatum Blvd, Suite 120, Phoenix, AZ 85050-4200 2013-09-20
1427490242 Lauren K. Hasquet Physical Therapist 20950 N Tatum Blvd, Suite 100, Phoenix, AZ 85050-4200 2013-07-22
1588960512 Desert Ridge Implant & Oral Surgery PC Dentist 20950 N Tatum Blvd, Ste. 120, Phoenix, AZ 85050-4200 2011-02-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770045528 Jesse Micheal Stokke Student in an Organized Health Care Education/Training Program Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 2019-04-02
1386104974 Dania Aijaz Shah Student in an Organized Health Care Education/Training Program Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 2019-03-21
1205391588 Sanctuary Clinic/Center 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 2019-01-31
1477026474 Archer Health LLC Nurse Practitioner 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 2019-01-02
1548756059 Preston Andrew Slade Community/Behavioral Health 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 2018-07-09
1184126658 Alisha Ramirez Specialist/Technologist 19638 N 37th Way, Phoenix, AZ 85050 2018-03-01
1720590011 Dr Richards Pllc Internal Medicine 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 2017-10-26
1417474792 Heather Arabeity Nurse Practitioner 3762 E Zachary Dr, Phoenix, AZ 85050 2017-08-28
1083161087 Haley Elaine Kinzer Physician Assistant 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 2016-09-07
1003227927 Chelsea Joy Thomsen Internal Medicine 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 2014-05-13
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205441136 Maryvale Dental Studio Dentist 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 2020-09-08
1912516535 Ford Calaway Dentistry & Orthodontics LLC Dentist 2111 E Highland Ave Ste B, Phoenix, AZ 85016-4741 2020-07-29
1568085637 Family Dental Phoenix Dentist 2401 W Glendale Ave Ste 102, Phoenix, AZ 85021-7621 2020-05-24
1699308866 Signature Dental Partners LLC Dentist 410 N 44th St Ste 290, Phoenix, AZ 85008-7622 2020-02-17
1164062618 Smile Dentistry Pllc Dentist 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 2020-01-13
1942849146 Risas O.s. Dental Partners Az LLC Dentist 7442 W. Thomas Rd., Phoenix, AZ 85033 2020-01-06
1831748532 Benjamin Paul Chalom Baranes Dentist 5225 N 19th Ave Ste C, Phoenix, AZ 85015-2903 2019-09-05
1346800760 Sonoran Sky Family Dentistry Dentist 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 2019-06-18
1376101188 Bethany Helen Armendariz Dentist 4757 E Greenway Rd # Set108, Phoenix, AZ 85032-8513 2019-06-05
1851958300 Smile Dental Studio Dentist 10209 N 35th Ave Ste 129, Phoenix, AZ 85051-9619 2019-05-21
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Competitor

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City PHOENIX
Zip Code 85050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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