HOLLEY ENDODONTICS, PA (NPI# 1962932210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962932210 |
Entity Type | Organization |
Organization Name | HOLLEY ENDODONTICS, PA |
Practice Address |
1130 E Butler Rd Greenville SC 29607-5908 |
Mailing Address |
7 Timberwood Dr Unit 101 Lebanon NH 03766-4468 |
Practice Telephone | 8649877030 |
Enumeration Date | 2017-06-19 |
Last Update Date | 2017-06-19 |
Authorized Official Name | DR. GABRIEL M HOLLEY (OWNER) |
Authorized Official Telephone | 3043770014 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
SC | Ambulatory Health Care Facilities |
Street Address |
1130 E BUTLER RD |
City | GREENVILLE |
State | SC |
Zip Code | 29607-5908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891703419 | Lisa S Ravenel | Dentist | 1130 E Butler Rd, Greenville, SC 29607-5908 | 2006-08-03 |
1013569771 | Ravenel Periodontics, Pa | Dentist | 1130 E Butler Rd, Greenville, SC 29607-5908 | 2019-07-12 |
1588105829 | Periodontics of Greenville | Dentist | 1130 E Butler Rd, Greenville, SC 29607-5908 | 2017-03-20 |
1508170846 | William F Bohlen | Dentist | 1130 E Butler Rd, Greenville, SC 29607-5908 | 2010-07-28 |
1124332465 | Palmetto Periodontics of Greenville Pa | Dentist | 1130 E Butler Rd, Greenville, SC 29607-5908 | 2010-07-28 |
1992842868 | Ravenel Endodontics | Dentist | 1130 E Butler Rd, Greenville, SC 29607-5908 | 2007-01-31 |
1316084197 | Palmetto Periodontics Pa | Dentist | 1130 E Butler Rd, Greenville, SC 29607-5908 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
Find all providers in zip 29607 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386613 | Grinville Dentistry LLC | Clinic/Center | 114 Laurens Rd Ste A, Greenville, SC 29607-1826 | 2020-11-06 |
1154934354 | Spectrum Integrative Dentistry | Clinic/Center | 2131 Woodruff Rd Ste 1100, Greenville, SC 29607-5934 | 2020-08-26 |
1992316053 | Childrens Dentistry of Greenville | Clinic/Center | 410 Pelham Rd Ste A, Greenville, SC 29615-3502 | 2020-08-12 |
1104312925 | Your Sleep Solution Inc | Clinic/Center | 3801 Kennett Pike Ste E207, Greenville, DE 19807-2340 | 2018-07-04 |
1114422557 | Vcare Dental LLC | Clinic/Center | 1530 Poinsett Hwy, Greenville, SC 29609-2929 | 2018-03-28 |
1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
1518241710 | Willoughby Dental Pa | Clinic/Center | 3101 S. Hwy 14, Suite 4, Greenville, SC 29615 | 2011-10-06 |
1487832960 | Johnathan P. Earp, Dds, Pa | Clinic/Center | 2401 S Charles Blvd, Greenville, NC 27858 | 2008-02-06 |
1558458711 | Thomas M. Clark Dds Pa | Clinic/Center | 2404 Wade Hampton Blvd, Greenville, SC 29615-1146 | 2006-10-09 |
1194811026 | Greene County Health Care Incorporated | Clinic/Center | 261 Belvoir Hwy, Greenville, NC 27834-8193 | 2006-10-05 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29607 |
Please comment or provide details below to improve the information on HOLLEY ENDODONTICS, PA.
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.